Individual
REBECCA JO SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
725 S SHOOP AVE, WAUSEON, OH 43567-1702
(419) 330-2772
(419) 330-2771
Mailing address
725 S SHOOP AVE, WAUSEON, OH 43567-1702
(419) 330-2772
(419) 330-2771
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-04761
OH
Other
Enumeration date
04/01/2006
Last updated
02/06/2024
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