Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | RN 298493 | OH |
Y | 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.18734 | OH |
N | 363LG0600X | Nurse Practitioner - Gerontology | RN 298493 | OH |
N | 363LP2300X | Nurse Practitioner - Primary Care | RN 298493 | OH |
NPI | 1013375880 |
---|---|
Provider Name | Mrs. Stephanie Pritchard Shaffner |
First Address | Dublin, OH 43017-8683 |
Second Address | Columbus, OH 43214-3463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2016 |
Last Update Date | 17/03/2018 |