Provider Demographics
NPI:1508631490
Name:FURUBAYASHI, SHELBY NORIKO (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:NORIKO
Last Name:FURUBAYASHI
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:MS
Other - First Name:SHELBY
Other - Middle Name:NORIKO
Other - Last Name:FURUBAYASHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN, CNP
Mailing Address - Street 1:9500 EUCLID AVE # S90
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-445-1588
Mailing Address - Fax:216-444-9463
Practice Address - Street 1:9500 EUCLID AVE # S90
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-1588
Practice Address - Fax:216-444-9463
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0035021363LF0000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology