Individual
SHANNON R. PANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNS
Contact information
Practice address
782 TIM TAM AVE, COLUMBUS, OH 43230-1860
(000) 000-0000
Mailing address
782 TIM TAM AVE, COLUMBUS, OH 43230-1860
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
APRN.CNS.019349
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244274
—
OH
Enumeration date
07/13/2017
Last updated
09/12/2025
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