Individual provider · Type 1 NPI

Brandie Marie Shackelton, CNP

Pediatric Nurse Practitioner · Cleveland, OH

NPI number 1881592947 Active

Practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

Mailing address

23501 Marshcreek Way
Columbia Station, OH 44028-9905

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPRN.CNP.0043034 (OH)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1881592947

Brandie Marie Shackelton, CNP's National Provider Identifier is 1881592947, issued on Oct 28, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Cleveland, OH. The record was last updated on Oct 28, 2026.