Individual
MR. ANTHONY ALAN SHUMWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
18660 BAGLEY RD BLDG 1, SUITE 404, CLEVELAND, OH 44130-3483
(440) 234-8746
(440) 234-8748
Mailing address
18660 BAGLEY RD BLDG 1, SUITE 404, CLEVELAND, OH 44130-3483
(440) 234-8746
(440) 234-8748
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP10886
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065524
—
OH
Enumeration date
08/18/2009
Last updated
12/17/2025
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