Individual
MARY BETH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6499 E BROAD ST, SUITE 130, COLUMBUS, OH 43213-6505
(614) 322-2500
(614) 322-2532
Mailing address
6499 E BROAD ST, SUITE 130, COLUMBUS, OH 43213-6505
(614) 322-2500
(614) 322-2532
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN241927
OH
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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