Healthcare Provider Details

I. General information

NPI: 1598277287
Provider Name (Legal Business Name): SHELDON SCOTT LIGGETT CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2017
Last Update Date: 12/02/2022
Certification Date: 12/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

20304 WHITE BARK DR
STRONGSVILLE OH
44149-5640
US

V. Phone/Fax

Practice location:
  • Phone: 216-319-3354
  • Fax:
Mailing address:
  • Phone: 330-322-5374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberAPRN.CNP.021550
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: