NPI Information
- NPI:
1053018333
- Provider Name:
SHANNON PETCH
- Classification:
Nurse Practitioner - 363LA2100X
- Specialization: Acute Care
- Entity Type:
Individual
- PECOS Registration: Yes
- Address:
2951 MAPLE AVE
ZANESVILLE, OH
ZIP 43701
- Phone:
(740) 454-4000
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Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 363LA2100X | Nurse Practitioner | Acute Care | 0033218 | OHIO | Yes |