Individual
SHANNON RAE ROHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
981 WOOSTER RD, MILLERSBURG, OH 44654-1536
(330) 674-1015
(614) 451-5846
Mailing address
PO BOX 20451, COLUMBUS, OH 43220-0451
(614) 451-7346
(614) 451-5846
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
259878
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2279305
—
OH
Enumeration date
10/17/2006
Last updated
07/08/2007
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