Provider Demographics
NPI:1417940396
Name:STERNEN, SHIRLEY KRAMER (CRNA)
Entity Type:Individual
Prefix:MS
First Name:SHIRLEY
Middle Name:KRAMER
Last Name:STERNEN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:SHIRLEY
Other - Middle Name:ANN
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:3605 WARRENSVILLE CENTER RD
Mailing Address - Street 2:1ST FLOOR-MSC #9152
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5203
Mailing Address - Country:US
Mailing Address - Phone:216-286-6260
Mailing Address - Fax:216-286-6341
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-7330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH223160367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000221171OtherUNISON
OH415039OtherWELLCARE MEDICAID
OHP00430593OtherRAILROAD MEDICARE
OH7735917OtherAETNA
OH0583328OtherBCMH
OH000000516013OtherANTHEM
OH0270862Medicaid
OH751017OtherBUCKEYE MEDICAID
OHP00430593OtherRAILROAD MEDICARE
OHKR8218814Medicare PIN