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Individual

MS. SHANE RAQUEL GERBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.P.

Contact information

Practice address
140 FOX RD STE 201, VAN WERT, OH 45891-2492
(419) 238-3047
(419) 238-3052
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
06091
OH
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NP06091
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2255901
OH
Enumeration date
02/06/2007
Last updated
03/25/2024
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