Healthcare Provider Details

I. General information

NPI: 1316265572
Provider Name (Legal Business Name): SHAWNNA M NORWOOD R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 05/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5559 OLD BLUE ROCK RD #174
CINCINNATI OH
45247-2761
US

IV. Provider business mailing address

5559 OLD BLUE ROCK RD #174
CINCINNATI OH
45247-2761
US

V. Phone/Fax

Practice location:
  • Phone: 513-919-9286
  • Fax: 513-245-1455
Mailing address:
  • Phone: 513-919-9286
  • Fax: 513-245-1455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN 233309
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN 233309
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: