Individual
SARA JANE SHOMO
Active
Individual
SARA JANE SHOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
471504
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0034355
OH
Other
Enumeration date
03/22/2023
Last updated
06/19/2024
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