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Contact Information

TANYA I SHEPPARD, C-NP
7215 OLD OAK BLVD STE A420
CLEVELAND, OH44130
 Phone: 440-895-5058
 Fax: 440-816-6999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TANYA I SHEPPARD · (Female)

NPI Number 1184074205
Status Active
Credentials C-NP
Entity Individual
Enumeration date 06/20/2016
Last updated 02/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OH License # COA.19234-NP
  • OH Medicaid 0175501
Hospital affiliation(s)
  • SOUTHWEST GENERAL HEALTH CENTER - (Acute Care)
    18697 BAGLEY ROAD
    MIDDLEBURG HEIGHTS, OH 44130
  • ST JOHN MEDICAL CENTER - (Acute Care)
    29000 CENTER RIDGE ROAD
    WESTLAKE, OH 44145
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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