Individual
SHANNON CHRISTINE GODAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
10500 MONTGOMERY RD, MONTGOMERY, OH 45242-4402
(513) 865-2246
(513) 865-5552
Mailing address
10500 MONTGOMERY RD, MONTGOMERY, OH 45242-4402
(513) 865-2246
(513) 865-5552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0040161
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0040161
OH
Other
Enumeration date
08/18/2025
Last updated
09/24/2025
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