Provider Demographics
NPI:1598440653
Name:MCQUEEN, SHATOYA TASHA-MARIE (MSN, APRN-CNM)
Entity Type:Individual
Prefix:MS
First Name:SHATOYA
Middle Name:TASHA-MARIE
Last Name:MCQUEEN
Suffix:
Gender:F
Credentials:MSN, APRN-CNM
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Mailing Address - Street 1:3036 KESWICK RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-2721
Mailing Address - Country:US
Mailing Address - Phone:216-835-4942
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0002
Practice Address - Country:US
Practice Address - Phone:216-237-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-07-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife