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TAVARUS CHANCE SHURELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
7197 WINDSWEPT WAY, COLUMBUS, OH 43235-5748
(614) 312-6708
Mailing address
465 HARMON AVE, COLUMBUS, OH 43223
(614) 358-4172

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0035442
OH

Other

Enumeration date
11/28/2023
Last updated
06/27/2025
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