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Individual

SHAUNA L IAROCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
300 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 293-5000
(614) 293-6420
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-2594

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
374715
OH
163W00000X
Registered Nurse
593443
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.15053-NP
OH

Other

Enumeration date
05/20/2013
Last updated
09/18/2013
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