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Individual
KATHERINE MARY SHANNON
Active
Individual
KATHERINE MARY SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN404664
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0029310
OH
Other
Enumeration date
06/14/2021
Last updated
11/06/2023
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