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Organization
SERENITY PRIMARY CARE LLC
Active
Organization
SERENITY PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARITA TEDDER-EDWARDS FNP (NURSE PRACTITIONER)
(216) 526-5042
Entity
Organization
Contact information
Practice address
26300 CEDAR RD STE 200, BEACHWOOD, OH 44122-1158
(216) 804-2066
Mailing address
26300 CEDAR RD STE 200, BEACHWOOD, OH 44122-1158
(216) 804-2066
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
01/26/2023
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