Individual
MISS SHAWNA MARIE MATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 CHILDRENS DRIVE, COLUMBUS, OH 43205
(614) 722-6510
(614) 722-4772
Mailing address
700 CHILDRENS DRIVE, COLUMBUS, OH 43205
(614) 722-6510
(614) 722-4772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN297943
OH
363L00000X
Nurse Practitioner
Primary
NP07609
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
MAT104326406
OH
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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