Individual
SHANNON PETCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2951 MAPLE AVE, ZANESVILLE, OH 43701-1406
(740) 454-4000
Mailing address
3690 GREENBRIAR DR, ZANESVILLE, OH 43701-1594
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0033218
OH
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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