Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Teresa Marie Shaffer, CNP

Individual provider Adult Health Nurse Practitioner · NPI 1770092900

Miss. Teresa Marie Shaffer, CNP is a Nurse Practitioner in Boardman, Ohio. Qualified in 2017, 9 years ago. Practices with Optima Dermatology LLC, a 74-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

987 Boardman Canfield Rd
Boardman, OH 44512-4222
Phone: (330) 271-8589
Fax: (330) 965-9325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1039 Boardman Canfield Rd, Boardman, OH 44512-4211 — (330) 271-8589
  • 2525 E State St, Salem, OH 44460-9301 — (330) 271-8614
  • 2223 Niles Cortland Rd Se, Warren, OH 44484-3043 — (330) 965-8760

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN.CNP.021730 (OH)

Record details

NPI number1770092900
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedSeptember 20, 2017
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Optima Dermatology Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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