Provider Demographics
NPI:1144039157
Name:SHURN, SHANIAH MICHELLE
Entity type:Individual
Prefix:
First Name:SHANIAH
Middle Name:MICHELLE
Last Name:SHURN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 LAURENT DR APT 530
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5980
Mailing Address - Country:US
Mailing Address - Phone:216-798-0280
Mailing Address - Fax:
Practice Address - Street 1:6100 LAURENT DR APT 530
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5980
Practice Address - Country:US
Practice Address - Phone:216-798-0280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide