Individual
KRISTINE M SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3590 LUCILLE DR STE 2200, CINCINNATI, OH 45213-2666
(513) 458-1600
Mailing address
1097 DEERHAVEN CT, MILFORD, OH 45150-2270
(513) 560-5162
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0029784
OH
363L00000X
Nurse Practitioner
LE00037947
OH
Other
Enumeration date
08/19/2021
Last updated
09/21/2021
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