MEDICARE: SHELLEY ANN PLESCIA 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	363L00000X	Nurse Practitioner	APRN.CNP.0030118	OH

General Provider Information

NPI Number	:	1801551783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELLEY ANN PLESCIA NP

Provider Business Mailing Address
First Line	:	911 E AURORA RD
Second Line	:
City	:	MACEDONIA
State	:	OH
Zip	:	44056-1905
Country	:	US
Telephone Number	:	330-306-9844
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 E AURORA RD
Second Line	:
City	:	MACEDONIA
State	:	OH
Zip	:	44056-1905
Country	:	US
Telephone Number	:	330-306-9844
Fax Number	:

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

Provider Enumeration Date	:	11/04/2021
Last Update Date	:	11/04/2021

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Directions to “ SHELLEY ANN PLESCIA NP” Practice Location

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