Healthcare Provider Details

I. General information

NPI: 1619043221
Provider Name (Legal Business Name): SHEREE LAVETTE STARR CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25000 EUCLID AVE STE 206
EUCLID OH
44117-2647
US

IV. Provider business mailing address

25000 EUCLID AVE STE 206
EUCLID OH
44117-2647
US

V. Phone/Fax

Practice location:
  • Phone: 216-233-1820
  • Fax: 888-622-2385
Mailing address:
  • Phone: 216-233-1820
  • Fax: 888-622-2385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0029818
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number318171
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0029818
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: