Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | COA.11012-NP | OH |
NPI | 1023342284 |
---|---|
Provider Name | Cynthia Gail Shahed |
First Address | Cleveland, OH 44113-3108 |
Second Address | Cleveland, OH 44135-1362 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2009 |
Last Update Date | 18/11/2019 |