| Doctor Name: | MRS. SHANNON DENISE LARGE |
| NPI Number: | 1881726271 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | RN-253819 |
| Business Practice Address: | 8256 Harrisburg Rd Orient, OH - 431469528 |
| Business Phone Number: | 6148773631 |
| Business Fax Number: | |
| Mailing Address: | 8256 Harrisburg Rd, ORIENT |
| State: | OH |
| Postal Code: | 431469528 |
| Phone Number: | 6148773631 |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3747A0650X |
| License Number: | RN-253819 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Technician |
| Taxonomy Specialization: | Attendant Care Provider |
| Taxonomy Definition: | An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |