Provider Demographics
NPI:1184409872
Name:HAMSHER, SHADRA E
Entity type:Individual
Prefix:
First Name:SHADRA
Middle Name:E
Last Name:HAMSHER
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 1:2239 CARABEL AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-5565
Mailing Address - Country:US
Mailing Address - Phone:330-988-0054
Mailing Address - Fax:
Practice Address - Street 1:30328 WINSOR DR
Practice Address - Street 2:
Practice Address - City:BAY VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44140-1140
Practice Address - Country:US
Practice Address - Phone:440-666-2815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker