Provider Demographics
NPI:1689065823
Name:EDWARDS-LINDSAY, SHERMAINE
Entity Type:Individual
Prefix:
First Name:SHERMAINE
Middle Name:
Last Name:EDWARDS-LINDSAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3713 LYNNFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5113
Mailing Address - Country:US
Mailing Address - Phone:216-409-8926
Mailing Address - Fax:216-991-3931
Practice Address - Street 1:3713 LYNNFIELD RD
Practice Address - Street 2:
Practice Address - City:SHAKER HTS
Practice Address - State:OH
Practice Address - Zip Code:44122-5113
Practice Address - Country:US
Practice Address - Phone:216-409-8926
Practice Address - Fax:216-991-3931
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1809930Medicaid