Healthcare Provider Details

I. General information

NPI: 1487544375
Provider Name (Legal Business Name): SHALEAH S. RUSHTON LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20611 EUCLID AVE
EUCLID OH
44117-1521
US

IV. Provider business mailing address

856 E 220TH ST
EUCLID OH
44119-1873
US

V. Phone/Fax

Practice location:
  • Phone: 855-967-2436
  • Fax:
Mailing address:
  • Phone: 216-776-2497
  • Fax: 216-776-2497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SR0400X
TaxonomyRehabilitation Clinical Nurse Specialist
License Number166260
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: