Individual
HEATHER M SHOUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2350 MIAMI VALLEY DR STE 500, DAYTON, OH 45459-4780
(937) 293-1622
(937) 245-6308
Mailing address
6680 POE AVE STE 200, DAYTON, OH 45414-2855
(937) 280-8400
(937) 280-8373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN317714
OH
363L00000X
Nurse Practitioner
COA16815NP
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.16815
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113882
—
OH
Enumeration date
10/31/2014
Last updated
01/07/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us