Organization
SYNERGY THERAPEUTICS HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARELL J THAXTON DNP (DIRECT OWNER)
(814) 919-9355
Entity
Organization
Contact information
Practice address
8210 MACEDONIA BLVD, SUITE 3B-1010, MACEDONIA, OH 44056
(814) 919-9355
Mailing address
8210 MACEDONIA BLVD, SUITE 3B-1010, MACEDONIA, OH 44056
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
09/03/2024
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