Healthcare Provider Details

I. General information

NPI: 1326510025
Provider Name (Legal Business Name): VICTORIA FAYE SHEHAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2018
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5172 LEAVITT RD
LORAIN OH
44053-2384
US

IV. Provider business mailing address

730 C STREET
LORAIN OH
44052
US

V. Phone/Fax

Practice location:
  • Phone: 440-282-7420
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberGAA-NP005162
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number023834
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11044934
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: