Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.097239 | OH |
Y | 2080P0205X | Pediatric Endocrinologist | 35.097239 | OH |
NPI | 1265582563 |
---|---|
Provider Name | Dr. Nicole Sheanon |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 18/09/2015 |