Individual
SHIRLEY ANN MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8440 MARKET ST, BOARDMAN, OH 44512-6703
(330) 965-9999
(330) 757-0000
Mailing address
8440 MARKET ST, BOARDMAN, OH 44512-6703
(330) 965-9999
(330) 757-0000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA10568
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.10568
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052158
—
OH
Enumeration date
02/13/2009
Last updated
04/19/2018
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