Individual
AMBER CHRISTIAN SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
830 BOULEVARD ST, AKRON, OH 44311-1304
(330) 957-6595
Mailing address
715 CARLYSLE ST, AKRON, OH 44310-2929
(330) 903-6533
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
163827
OH
376K00000X
Nurse's Aide
401167231110
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3101244
—
OH
Enumeration date
12/03/2010
Last updated
12/12/2016
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