Provider Demographics
NPI:1225530306
Name:SHERMAN, CRYSTAL ESPINOZA (MSHS, PA-C)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:ESPINOZA
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MSHS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8435 WINDSOR WAY
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-1794
Mailing Address - Country:US
Mailing Address - Phone:330-888-2292
Mailing Address - Fax:
Practice Address - Street 1:18181 PEARL RD STE B104
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-6950
Practice Address - Country:US
Practice Address - Phone:440-238-3511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-05
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.005479RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant