Doctor Name: | RHONDA SHRYOCK |
NPI Number: | 1063827400 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | COA.16075-NP |
Business Practice Address: | 5200 Harroun Rd Sylvania, OH - 435602168 |
Business Phone Number: | 4198241444 |
Business Fax Number: | 4198828309 |
Mailing Address: | 5855 Monroe St, SYLVANIA |
State: | OH |
Postal Code: | 435602269 |
Phone Number: | 4198247283 |
Fax Number: | 4198247359 |
NPI Enumeration Date: | 06/24/2014 |
NPI Last Update Date: | 12/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA.16075-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |