Provider Demographics
NPI:1649304262
Name:KEHRES, SHARI M (RN, MSN, CPNP)
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:M
Last Name:KEHRES
Suffix:
Gender:F
Credentials:RN, MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 CHILDREN DR BLDG D
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-6791
Mailing Address - Country:US
Mailing Address - Phone:513-336-6700
Mailing Address - Fax:513-398-2109
Practice Address - Street 1:9600 CHILDREN DR BLDG D
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-6791
Practice Address - Country:US
Practice Address - Phone:513-336-6700
Practice Address - Fax:513-398-2109
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-06121363LP0200X
OHAPRN.CNP.06121363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics