Individual
DANYELL SHANTIA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3423 LOWNESDALE RD, CLEVELAND HEIGHTS, OH 44112-3033
(216) 440-0343
Mailing address
3423 LOWNESDALE RD, CLEVELAND HEIGHTS, OH 44112-3033
(216) 440-0343
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.180464.MEDS-IV
OH
376K00000X
Nurse's Aide
Primary
400569351206
OH
Other
Enumeration date
12/06/2012
Last updated
01/26/2026
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