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Sally Mae Shull-diener, CNP
Nurse Practitioner in Toledo, Ohio
NPI 1629028477

Sally Mae Shull-diener is a Nurse Practitioner based in Toledo, OH. Sally Mae Shull-diener practices in Toledo, OH and has the professional credentials of CNP. The NPI Number for Sally Mae Shull-diener is 1629028477 and holds a License No. NP08368 (Ohio).

The current practice location address for Sally Mae Shull-diener is 4640 W Alexis Rd, Toledo, OH and can be reached out via phone at 419-843-8150 and via fax at 419-479-2579.

Location: 4640 W Alexis Rd, Toledo, OH, 43623-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629028477
Provider Name
Sally Mae Shull-diener
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
4640 W Alexis Rd, Toledo, OH, 43623-1006
Phone Number
419-843-8150
Fax Number
419-479-2579
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000475788 01 OH ANTHEM
2614559 05 OH
P00301721 01 OH RRMC
PENDING 01 OH ANTHEM
institution
Provider Business Practice Location Address Details
Address
4640 W Alexis Rd
City
Toledo
State
Ohio
Zip
43623-1006
Phone Number
419-843-8150
Fax Number
419-479-2579
person
Provider Business Mailing Address Details
Address
4640 W Alexis Rd
City
Toledo
State
Ohio
Zip
43623-1006
Phone Number
419-843-8150
Fax Number
419-479-2579
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
NP08368 (Ohio)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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