Individual
SHANNON WINEBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4777 E GALBRAITH RD, CINCINNATI, OH 45236-2725
(513) 686-3000
Mailing address
3507 TARPIS AVE, CINCINNATI, OH 45208-1614
(585) 749-6376
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0021064
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2024
Last updated
08/21/2024
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