Individual
SIERRA NICOLE SHIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
7446 COUNTY ROAD 107, GIBSONBURG, OH 43431-9531
(567) 201-5393
Mailing address
7446 COUNTY ROAD 107, GIBSONBURG, OH 43431-9531
(567) 201-5393
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
435386
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
435386
OH
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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