Individual
CRISTIN SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 PIEDMONT AVE, CINCINNATI, OH 45219-4231
(513) 475-7630
(513) 475-7636
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
(513) 245-3031
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35.139572
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411238
—
OH
05
—
300003754
—
IN
Enumeration date
04/18/2016
Last updated
09/01/2020
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