IndividualActive
Addie Shock
NPI 1215380423 · Pediatric Nurse Practitioner · Elyria, OH
Provider details
- NPI number
- 1215380423
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN3810151 (OH)
Mailing address
9807 Nicole Ln
Olmsted Twp, OH 44138-4252
Registry dates
- Enumerated
- 2016-07-22
- Last updated
- 2022-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.