Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.024288 | OH |
NPI | 1013474436 |
---|---|
Provider Name | Dr. Ashley Marie Shea |
First Address | Cincinnati, OH 45227-3705 |
Second Address | Cincinnati, OH 45227-3705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2019 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
APRN.CNP.024288 | LICENSURE (01) | OH |