Individual provider · Type 1 NPI
Addie Shock
Pediatric Nurse Practitioner · Elyria, OH
NPI number
1215380423
Active
Practice location
125 E Broad St Ste 302
Elyria, OH 44035-6447
Mailing address
9807 Nicole Ln
Olmsted Township, OH 44138-4252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN3810151 (OH) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Elyria
About NPI 1215380423
Addie Shock's National Provider Identifier is 1215380423, issued on Jul 22, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Elyria, OH. The record was last updated on Mar 29, 2022.