Shanna Lee Dew, NP | |
1370 N State Route 377 Nw, Malta, OH 43758-9786 | |
(740) 607-3625 | |
Not Available |
Full Name | Shanna Lee Dew |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1370 N State Route 377 Nw, Malta, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215370580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN375151 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.023718 (Ohio) | Primary |
Entity Name | Palliative Care Support Solutions, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154941417 PECOS PAC ID: 2769807122 Enrollment ID: O20200731001558 |
Mailing Address | Practice Location Address |
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Shanna Lee Dew, NP 1370 N State Route 377 Nw, Malta, OH 43758-9786 Ph: (740) 607-3625 | Shanna Lee Dew, NP 1370 N State Route 377 Nw, Malta, OH 43758-9786 Ph: (740) 607-3625 |
Heather Marie Gillespie, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 859 N Main St, Malta, OH 43758 Phone: 740-962-6111 Fax: 740-962-2182 | |
Macey Dodd, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 859 N Main St, Malta, OH 43758 Phone: 740-891-9000 | |
Samantha A Kanavel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 859 N Main St, Malta, OH 43758 Phone: 740-891-9000 | |
Kayla Renee Hanson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 859 N Main St, Malta, OH 43758 Phone: 740-962-6111 |