Individual
MRS. SHANNA F BOTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
9500 EUCLID AVE, MAILSTOP S1-20, CLEVELAND, OH 44195-0001
(216) 444-0537
Mailing address
21211 S WOODLAND RD, SHAKER HEIGHTS, OH 44122-3021
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP08422
OH
Other
Enumeration date
04/06/2006
Last updated
08/19/2016
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