Individual
LAUREL SHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, PMHNP-BC
Contact information
Practice address
12300 MCCRACKEN ROAD, GARFIELD HEIGHTS, OH 44125-2914
(216) 587-8335
(216) 587-8646
Mailing address
12300 MCCRACKEN RD, GARFIELD HTS, OH 44125-2975
(216) 587-8335
(216) 587-5860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.443955
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.024475
OH
Other
Enumeration date
09/06/2018
Last updated
11/12/2020
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