Individual
SHANNON PRIKKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 OLD SALEM RD, ENGLEWOOD, OH 45322-2681
(937) 832-5000
(937) 832-5001
Mailing address
4001 OLD SALEM RD, ENGLEWOOD, OH 45322-2681
(937) 832-5000
(937) 832-5001
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
392899
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PRIKKELS
—
OH
Enumeration date
09/30/2015
Last updated
09/30/2015
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