Individual
SHANNON BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R159933
MD
363L00000X
Nurse Practitioner
Primary
CNP.025728
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.025728
OH
363LF0000X
Family Nurse Practitioner
R159933
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F07181466
AANP
—
Enumeration date
04/09/2018
Last updated
01/13/2021
Update your record
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