Individual
MRS. EVETTE SHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
770 W HIGH ST, SUITE 240, LIMA, OH 45801-3990
(419) 996-2686
(419) 996-2687
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.17035
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118398
—
OH
Enumeration date
01/27/2015
Last updated
10/18/2024
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