Individual
SHANE GAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
495 E MAIN ST, COLUMBUS, OH 43215-5349
(614) 355-8005
(614) 355-8030
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.019806
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
09/01/2016
Last updated
03/04/2020
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