Healthcare Provider Details

I. General information

NPI: 1023889045
Provider Name (Legal Business Name): TAMELA JENE MCGRAW SCHENCK DNP, APRN, AGCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 METROHEALTH DR
CLEVELAND OH
44109-1900
US

IV. Provider business mailing address

4423 LEXINGTON RIDGE DR
MEDINA OH
44256-6335
US

V. Phone/Fax

Practice location:
  • Phone: 216-778-7800
  • Fax:
Mailing address:
  • Phone: 330-749-5460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License Number0019489
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: