Individual
MRS. LAUREN KELLY SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 803-8092
(513) 803-9245
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 803-8092
(513) 803-9245
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.17674
OH
363LA2100X
Acute Care Nurse Practitioner
COA.17674-NP
OH
363LP0200X
Pediatric Nurse Practitioner
COA.17674-NP
OH
Other
Enumeration date
07/23/2015
Last updated
07/26/2024
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