Individual
SHAWN M DEATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 OLENTANGY RIVER RD STE 2000, COLUMBUS, OH 43212-3159
(614) 293-8155
(614) 293-3565
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8155
(614) 293-3565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.024001
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.024001
OH
363LF0000X
Family Nurse Practitioner
F09181760
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083184725
—
OH
Enumeration date
11/26/2018
Last updated
02/22/2024
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