Individual
DEANNA ADOL SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PINNACLE DR, FREMONT, OH 43420-7400
(419) 332-0310
(419) 332-0296
Mailing address
100 PINNACLE DR, FREMONT, OH 43420-7400
(419) 332-0310
(419) 332-0296
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN180622
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36-2791
—
OH
Enumeration date
11/15/2021
Last updated
11/15/2021
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