MS. SHAUNA MARIE CLEVELLE RN NPI 1730437377

NPI Information

NPI: 1730437377
Provider Name: MS. SHAUNA MARIE CLEVELLE, RN
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
209 N HURON CT
FAIRBORN, OH
ZIP 45324
Phone: (937) 430-6900
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MS. Shauna Marie Clevelle, RN is a general practice registered nurse in Fairborn, OH. MS. Shauna Marie Clevelle, RN NPI is 1730437377. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

209 N HURON CT
FAIRBORN, OH
ZIP 45324-775
Phone: (937) 430-6900

The enumeration date for this NPI number is 8/28/2012 and was last updated on 11/21/2012.

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
1	163WG0000X	Registered Nurse	General Practice	RN 382765	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2903415	OTHER	OHIO	OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES CONTRACT NUMBER
2	0073636	OTHER	OHIO	ODJFS MEDICAID PROVIDER NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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