Individual
MS. SHANNON M HAIKALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-7425
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
3009359
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
COA16053NP
OH
Other
Enumeration date
06/25/2014
Last updated
11/27/2017
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