SHAWNTERRA MARIE RUSSELL NPI 1063263416

NPI Information

  • NPI: 1063263416
  • Provider Name: SHAWNTERRA MARIE RUSSELL
  • Classification:
  • Entity Type: Individual
  • Address: 5569 RIDGE RD
    PARMA, OH
    ZIP 44129
  • Phone: (330) 490-9395

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NPI Details

Shawnterra Marie Russell is a healthcare provider in Parma, OH. Shawnterra Marie Russell NPI is 1063263416. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5569 RIDGE RD
PARMA, OH
ZIP 44129-372
Phone: (330) 490-9395

The enumeration date for this NPI number is 4/1/2024 and was last updated on 4/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1372600000XAdult CompanionNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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