Individual
SHAKINAH N PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 HIGHVIEW BLVD, COLUMBUS, OH 43207-6023
(148) 269-9956
Mailing address
100 HIGHVIEW BLVD, COLUMBUS, OH 43207-6023
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
459104
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222561
—
OH
Enumeration date
05/22/2017
Last updated
07/13/2021
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