Provider Demographics
NPI:1831125707
Name:SHINGLETON, ANNE M (DNP, CRNP)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:M
Last Name:SHINGLETON
Suffix:
Gender:F
Credentials:DNP, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 BRAEMAR CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-8293
Mailing Address - Country:US
Mailing Address - Phone:330-685-5318
Mailing Address - Fax:330-361-4402
Practice Address - Street 1:910 BRAEMAR CIR
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-8293
Practice Address - Country:US
Practice Address - Phone:330-685-5318
Practice Address - Fax:330-361-4402
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN259558163W00000X
OHCOA 07197363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1801094602OtherNPI NUMBER
OH2863316Medicaid
OH2863316Medicaid
OHP78516Medicare UPIN