Provider Demographics
NPI:1114980950
Name:GINAL, SHARON L (CNS)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:L
Last Name:GINAL
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20050 HARVARD AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-6816
Mailing Address - Country:US
Mailing Address - Phone:216-283-0750
Mailing Address - Fax:216-491-6374
Practice Address - Street 1:25000 HARVARD RD
Practice Address - Street 2:SUITE 304
Practice Address - City:WARRENSVILLE HTS
Practice Address - State:OH
Practice Address - Zip Code:44122
Practice Address - Country:US
Practice Address - Phone:216-283-0750
Practice Address - Fax:216-491-6374
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN212303364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2497945Medicaid
OHGINS75421Medicare PIN
OH2497945Medicaid