| NPI | 1104374438 | 
|---|---|
| Former Name | SHANNON PATTON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019855)  | 
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.019855)  | 
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH APRN.CNP.019855)  | |
| Enumeration Date | 2016-09-15 | 
| Last Update Date | 2018-05-11 |