| NPI | 1780350728 |
|---|---|
| Other Name | KRISTIN SHANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029784) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH LE00037947) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-09-21 |