Individual provider · Type 1 NPI

Shannon Marie Mittelbrun, RN

Registered Nurse · Cleveland, OH

NPI number 1043149255 Active

Practice location

10701 East Blvd
Cleveland, OH 44106-1702

Mailing address

31890 Walker Rd
Avon Lake, OH 44012-2043

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X407864 (OH)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1043149255

Shannon Marie Mittelbrun, RN's National Provider Identifier is 1043149255, issued on May 14, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Cleveland, OH. The record was last updated on May 14, 2026.