Provider Demographics
NPI:1659242766
Name:SHROPSHIRE, NOLAN
Entity type:Individual
Prefix:
First Name:NOLAN
Middle Name:
Last Name:SHROPSHIRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-1472
Mailing Address - Country:US
Mailing Address - Phone:330-618-1604
Mailing Address - Fax:
Practice Address - Street 1:780 MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-1472
Practice Address - Country:US
Practice Address - Phone:330-618-1604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health