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 |