Individual
ALISSA LOREN SHRODEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
550 W CHALMERS AVE, YOUNGSTOWN, OH 44511-1576
(330) 797-0070
(330) 797-9146
Mailing address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
(330) 797-9146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.416616
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN.416616
OH
363L00000X
Nurse Practitioner
APRN.CNP.0032017
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.0032017
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001368
—
OH
01
—
15688674
CAQH
—
Enumeration date
08/02/2022
Last updated
07/16/2025
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