Individual
FAYRON SHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 312-4500
Mailing address
4915 DELEVAN DR, CLEVELAND, OH 44124-1017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021196
OH
Other
Enumeration date
01/17/2018
Last updated
09/09/2025
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