Most Relevant Information
Provider Data
| NPI Number: | 1003414111 |
| Provider Name: | SHENIKA TODD APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN.CNP.025964 |
Most Important Dates
| Enumeration Date: | 10/12/2020 |
| Last Updated: | 10/12/2020 |
Provider Practice Location
27030 CEDAR RD APT 403
BEACHWOOD
OH
441221120
Practice Location Phone/Fax
| Phone: | 2163379406 |
| Fax: |
Provider Mailing Location
27030 CEDAR RD APT 403
BEACHWOOD
OH
441221120
Provider Mailing Phone/Fax
| Phone: | 2163379406 |
| Fax: |