Individual
SHU LAN PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 286-7199
Mailing address
22614 HALBURTON RD, BEACHWOOD, OH 44122-3971
(216) 903-6685
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.023533
OH
Other
Enumeration date
10/21/2018
Last updated
02/23/2021
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