Individual
BETTINA R SHOBANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6611 CLYO RD STE A, CENTERVILLE, OH 45459-2785
(937) 499-8735
Mailing address
403 W RAHN RD, DAYTON, OH 45429-2036
(937) 776-5268
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0035174
OH
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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