| Doctor Name: | RICHELLE D SHIPMAN |
| NPI Number: | 1043370075 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | NP09167 |
| Business Practice Address: | 4139 Boardman Canfield Rd Canfield, OH - 444069034 |
| Business Phone Number: | 3307021372 |
| Business Fax Number: | 3307021287 |
| Mailing Address: | 4139 Boardman Canfield Rd, CANFIELD |
| State: | OH |
| Postal Code: | 444069034 |
| Phone Number: | 3307021372 |
| Fax Number: | 3307021287 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 10/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | NP09167 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |