Individual
MRS. SHAWNA MARIE POLVERINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 235-1251
Mailing address
412 MELROSE AVE, BOARDMAN, OH 44512-2359
(330) 941-0743
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0034049
OH
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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