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Individual

MRS. ELAINE ANNETTE SHIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
410 LINDSEY ST, NEWPORT, KY 41071-1537
(859) 750-4786
Mailing address
237 WILLIAM HOWARD TAFT RD, CINCINNATI, OH 45219-2610
(513) 351-9900

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1095041
KY
163W00000X
Registered Nurse
Primary
RN 292465-COA1
OH
363LA2100X
Acute Care Nurse Practitioner
NP COA 12960-NP
OH
364SA2100X
Acute Care Clinical Nurse Specialist
2011012415
KY

Other

Enumeration date
03/02/2012
Last updated
04/14/2020
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