Provider Demographics
NPI:1003414111
Name:TODD, SHENIKA (APRN)
Entity Type:Individual
Prefix:MS
First Name:SHENIKA
Middle Name:
Last Name:TODD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27030 CEDAR RD APT 403
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1120
Mailing Address - Country:US
Mailing Address - Phone:216-337-9406
Mailing Address - Fax:
Practice Address - Street 1:27030 CEDAR RD APT 403
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1120
Practice Address - Country:US
Practice Address - Phone:216-337-9406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025964363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily