Individual
SHANNON TERESA TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PNP-AC
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 314-1935
Mailing address
908 BACCARAT DR, CINCINNATI, OH 45245-1981
(513) 314-1935
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0030029
OH
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0030029
OH
Other
Enumeration date
12/16/2022
Last updated
04/25/2023
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