Individual
SHANELL LAREESE MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6191 AMBLESIDE DR, COLUMBUS, OH 43229
(614) 373-9236
Mailing address
6191 AMBLESIDE DR, COLUMBUS, OH 43229-1902
(614) 373-9236
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401305861011
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209797
—
OH
Enumeration date
08/25/2017
Last updated
07/21/2022
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