Individual
MRS. GINA MARIE SHAFFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
2600 6TH ST SW, CANTON, OH 44710-1702
(330) 363-7642
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 363-7444
(330) 363-7770
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
378900
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020229
OH
Other
Enumeration date
11/02/2020
Last updated
07/07/2022
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