Individual
SHARON SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 LAKESIDE AVE E, SUITE 1200, CLEVELAND, OH 44114-1158
(800) 837-6764
Mailing address
3040 EDGEHILL RD, CLEVELAND HTS, OH 44118-2020
(216) 371-9660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001244
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7061743
AETNA
OH
Enumeration date
03/30/2006
Last updated
12/23/2020
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