Richelle D Shipman
Nurse Practitioner - Women's Health
1111 Boardman Canfield Rd
Boardman
, Ohio 44512-4062
Richelle D Shipman
Nurse Practitioner - Women's Health
1111 Boardman Canfield Rd
Boardman
, Ohio 44512-4062
(330) 965-0897
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Richelle D Shipman
- 1111 Boardman Canfield Rd
- Boardman, OH
- Zip : 44512-4062
- Fax : (330) 965-0897
- Phone : (330) 965-0909
Second Address
- Richelle D Shipman
- 1111 Boardman Canfield Rd
- Boardman, OH
- Zip : 44512-4062
- Fax : (330) 965-0897
- Phone : (330) 965-0909
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Is Richelle D Shipman a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | NP09167 | OH |
National Provider Identifier
| NPI | 1043370075 |
|---|---|
| Provider Name | Richelle D Shipman |
| First Address | Boardman, OH 44512-4062 |
| Second Address | Boardman, OH 44512-4062 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2006 |
| Last Update Date | 22/11/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0082341 | (05) | OH |
| H236540 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.