Healthcare Provider Details

I. General information

NPI: 1730059122
Provider Name (Legal Business Name): OLHA SHTYRKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16801 CHILLICOTHE RD
CHAGRIN FALLS OH
44023-4618
US

IV. Provider business mailing address

11477 HARBOUR LIGHT DR
NORTH ROYALTON OH
44133-2680
US

V. Phone/Fax

Practice location:
  • Phone: 440-543-7475
  • Fax: 440-708-2341
Mailing address:
  • Phone: 440-390-1341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0040736
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: