MEDICARE: MS. KAYLEE A SHARKEY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	APRN.CNP.0041010	OH

General Provider Information

NPI Number	:	1730044017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAYLEE A SHARKEY NP

Provider Business Mailing Address
First Line	:	36000 EUCLID AVE
Second Line	:
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-4625
Country	:	US
Telephone Number	:	440-781-0879
Fax Number	:

Provider Business Practice Location Address
First Line	:	3757 W 139TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-4408
Country	:	US
Telephone Number	:	440-781-0879
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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