Individual
ERIN RACHEL SHANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3737 LANDER RD, PEPPER PIKE, OH 44124-5712
(216) 831-2255
(216) 378-3906
Mailing address
3737 LANDER RD, PEPPER PIKE, OH 44124-5712
(216) 831-2255
(216) 378-3906
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.147301-M-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268768
—
OH
Enumeration date
04/11/2012
Last updated
04/11/2012
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