Individual
SHELLEY ANTESBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5151 MONROE ST STE 200, TOLEDO, OH 43623-3466
(419) 720-6146
Mailing address
PO BOX 8970, TOLEDO, OH 43623-0970
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN195188
OH
Other
Enumeration date
09/20/2016
Last updated
09/21/2016
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