Individual
SHANNON L MALIKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
500 S TRIMBLE RD, MANSFIELD, OH 44906-4103
(419) 756-6000
(419) 756-1774
Mailing address
500 S TRIMBLE RD, MANSFIELD, OH 44906-4103
(419) 756-6000
(419) 756-1774
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP-06714
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2400137
—
OH
Enumeration date
03/09/2007
Last updated
07/08/2007
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