MEDICARE: HAGER ABDELHAY ELSHEEWY NP-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	363LF0000X	Family Nurse Practitioner	0032004	OH

General Provider Information

NPI Number	:	1922772219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAGER ABDELHAY ELSHEEWY NP-C

Provider Business Mailing Address
First Line	:	27846 BIRCHWOOD CT
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-1259
Country	:	US
Telephone Number	:	201-620-1913
Fax Number	:

Provider Business Practice Location Address
First Line	:	1956 E 79TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-4270
Country	:	US
Telephone Number	:	216-431-3733
Fax Number	:

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

Provider Enumeration Date	:	08/02/2021
Last Update Date	:	03/19/2024

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