Individual
MISS TERESA MARIE SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
987 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4222
(330) 271-8589
(330) 965-9325
Mailing address
111 NEW HAMPSHIRE AVE STE 2, PORTSMOUTH, NH 03801-2864
(802) 909-2053
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.021730
OH
Other
Enumeration date
09/20/2017
Last updated
02/06/2024
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