Addie Shock
Addie Shock is a Pediatric Nurse Practitioner in Elyria, Ohio. Licensed in Ohio. Registered with an NPI since 2016.
- Licensed in
- OH
- In the registry since
- 2016
Practice location Address checks out
125 E Broad St Ste 302Elyria, OH 44035-6447
Phone: (440) 323-0258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence RN3810151 (OH) |
|---|
Record details
| NPI number | 1215380423 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 22, 2016 |
| Last updated in NPPES | March 29, 2022 |
| Certification date | March 29, 2022 |
| Mailing address | 9807 Nicole Ln, Olmsted Twp, OH 44138-4252 |
Other providers in Elyria
-
Sarai C Fenik, CPNP
630 E River St, Elyria, OH 44035-5902 · (440) 329-7500