Provider Demographics
NPI:1124425681
Name:SHERER, ALYSSA HART (RN, MSN, CNP, DNP)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:HART
Last Name:SHERER
Suffix:
Gender:F
Credentials:RN, MSN, CNP, DNP
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:HART
Other - Last Name:WAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5550 VENTURE DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44130-9315
Mailing Address - Country:US
Mailing Address - Phone:216-201-2001
Mailing Address - Fax:
Practice Address - Street 1:5550 VENTURE DR
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44130-9315
Practice Address - Country:US
Practice Address - Phone:216-201-2001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-28
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH16846363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health