MEDICARE: SHAVAUN GUYTON APRN, FNP-C

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	0028372	OH
2	363LF0000X	Family Nurse Practitioner	0028372	OH

General Provider Information

NPI Number	:	1881262491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAVAUN GUYTON APRN, FNP-C

Provider Business Mailing Address
First Line	:	9500 EUCLID AVE # E3-208
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-956-6832
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE # E3-208
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-3781
Country	:	US
Telephone Number	:	216-956-6832
Fax Number	:

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

Provider Enumeration Date	:	06/11/2021
Last Update Date	:	03/11/2025

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