| Shawne Michael Mix, MSN, APRN, AGACNP-BC | |
|
3175 Fickey Dr, Cuyahoga Falls, OH 44223-2837 | |
| (440) 749-8681 | |
| Not Available |
| Full Name | Shawne Michael Mix |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 3175 Fickey Dr, Cuyahoga Falls, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871370486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.0034600 (Ohio) | Primary |
| Entity Name | University Hospitals Ahuja Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609189604 PECOS PAC ID: 5496935538 Enrollment ID: O20120424000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawne Michael Mix, MSN, APRN, AGACNP-BC 3175 Fickey Dr, Cuyahoga Falls, OH 44223-2837 Ph: (440) 749-8681 | Shawne Michael Mix, MSN, APRN, AGACNP-BC 3175 Fickey Dr, Cuyahoga Falls, OH 44223-2837 Ph: (440) 749-8681 |
Jennifer Ann Dehlman, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 23rd St, Cuyahoga Falls, OH 44223 Phone: 330-971-7246 Fax: 330-971-7256 | |
Rachel Sammon, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 346 Howe Ave, Cuyahoga Falls, OH 44221 Phone: 330-591-5706 | |
Irene E Dettmer, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 Graham Rd, Suite 4, Cuyahoga Falls, OH 44223 Phone: 330-926-9409 Fax: 330-926-9428 | |
Venita I Yetsko, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 23rd St, Cuyahoga Falls, OH 44223 Phone: 330-971-7246 Fax: 330-971-7256 | |
Moira Layne Forester, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 275 Graham Rd Ste 11, Cuyahoga Falls, OH 44223 Phone: 330-923-0094 | |
Mrs. Katie Lyn Whitacre, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Portage Trl Ste A, Cuyahoga Falls, OH 44221 Phone: 330-808-1664 | |
Mrs. Michelle Marie Travagliante, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Portage Trl Ste A, Cuyahoga Falls, OH 44221 Phone: 330-331-4466 Fax: 234-334-5055 |