| Serenity Primary Care Llc | |
|
26300 Cedar Rd Ste 200 Beachwood OH 44122-1158 | |
| (216) 804-2066 | |
| Not Available |
| Full Name | Serenity Primary Care Llc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 26300 Cedar Rd Ste 200, Beachwood, Ohio |
| Authorized Official Name and Position | Sharita Tedder-edwards (NURSE PRACTITIONER) |
| Authorized Official Contact | 2165265042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Primary Care Llc 26300 Cedar Rd Ste 200 Beachwood OH 44122-1158 Ph: (216) 804-2066 | Serenity Primary Care Llc 26300 Cedar Rd Ste 200 Beachwood OH 44122-1158 Ph: (216) 804-2066 |
| NPI Number | 1366154684 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 01/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366154684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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