Provider Demographics
NPI:1942546726
Name:OHMS, SHAUNA (RN)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:
Last Name:OHMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:
Other - Last Name:OHMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:2353 FULTON ST APT 1
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43620-1234
Mailing Address - Country:US
Mailing Address - Phone:352-443-0530
Mailing Address - Fax:
Practice Address - Street 1:2353 FULTON ST APT 1
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43620-1234
Practice Address - Country:US
Practice Address - Phone:352-443-0530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-22
Last Update Date:2012-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH359333163W00000X
FLRN9316389163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse