Individual
ASHLEY NICOLE SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
43 KENNEDY DR, CALDWELL, OH 43724-9004
(740) 732-5211
(740) 732-4175
Mailing address
44388 PAUL CLARK RD, CALDWELL, OH 43724-9032
(740) 706-6303
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN111203
OH
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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