| NPI | 1972262632 |
|---|---|
| Former Name | SHANA CREADON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.542140) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.179620.MEDS-IV) |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2025-07-19 |