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PATRICIA ELISE SHAUGHNESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-4318
(513) 584-3020
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
(513) 245-3335
(513) 475-7259

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
09622
OH
363LW0102X
Women's Health Nurse Practitioner
28129783A
IN
363LW0102X
Women's Health Nurse Practitioner
RN228160
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000640123
ANTHEM PROVIDER NUMBER
IN
05
200936880
IN
01
RN228160
STATE LICENSE NUMBER
OH
Enumeration date
09/12/2007
Last updated
10/05/2010
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