Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHALANDA M ODOM-MACK
Active Sole ProprietorNurse's Aide · CLEVELAND, OH
Registration Details
- NPI Number
- 1336351634
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 7, 2007 (18.9578402158 yrs)
- Last Updated
- May 23, 2014
- License
-
376939251197 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11305 KEPPLER CTCLEVELAND, OH, 441056242Browse OH providers · Browse ZIP 44105
- Phone
- 2168012700
- Fax
- 2168012700
- Primary Specialty
-
Nurse's Aide
376K00000X
Other Nurse's Aide Providers in CLEVELAND, OH
| Name | Credential | NPI |
|---|---|---|
| MRS. JUNE ELAINE FROST | — | 1447323134 |
| CARMEN LATRICE REESE | STNA | 1760533665 |
| MISS MARY ELIZABETH KOGER | — | 1033247697 |
| LAKIESHA WILLIAMS | STNA | 1730218322 |
| MRS. LATRICE A WILLIAMS | STNA | 1699896266 |
| MS. CLAUDEINE HARDAWAY | — | 1467678565 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.