Healthcare Provider Details

I. General information

NPI: 1114980950
Provider Name (Legal Business Name): SHARON L GINAL CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 05/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25000 HARVARD RD SUITE 304
WARRENSVILLE HTS OH
44122
US

IV. Provider business mailing address

20050 HARVARD AVE SUITE 304
WARRENSVILLE HEIGHTS OH
44122-6816
US

V. Phone/Fax

Practice location:
  • Phone: 216-283-0750
  • Fax: 216-491-6374
Mailing address:
  • Phone: 216-283-0750
  • Fax: 216-491-6374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberRN212303
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: