Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 021818 | OH |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 021818 | OH |
N | 363LG0600X | Nurse Practitioner - Gerontology | 021818 | OH |
NPI | 1144739459 |
---|---|
Provider Name | Shaye Sumner |
First Address | Cleveland, OH 44195-3997 |
Second Address | Cleveland, OH 44113-3108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2017 |
Last Update Date | 17/03/2018 |