MEDICARE: MS. SHARNITA MCDADE

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	376K00000X	Nurse's Aide	377210650398	OH

General Provider Information

NPI Number	:	1750620027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARNITA MCDADE

Provider Business Mailing Address
First Line	:	12204 WOODWARD BLVD
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-3809
Country	:	US
Telephone Number	:	216-209-5872
Fax Number	:

Provider Business Practice Location Address
First Line	:	12204 WOODWARD BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44125-3809
Country	:	US
Telephone Number	:	216-209-5872
Fax Number	:

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

Provider Enumeration Date	:	02/06/2013
Last Update Date	:	02/06/2013

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