Individual
SHAWNE MICHAEL MIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
3999 RICHMOND RD, BEACHWOOD, OH 44122-6046
(216) 593-5500
Mailing address
3999 RICHMOND RD, BEACHWOOD, OH 44122-6046
(216) 593-5500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0034600
OH
Other
Enumeration date
09/08/2023
Last updated
02/17/2026
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