Shelby D Koetter
Nurse Anesthetist, Certified Registered in Dayton, OH. Individual provider (NPI-1).
NPI number1093346512
StatusActive
Last updated in NPPESFeb 3, 2020
Details
- NPI
- 1093346512
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shelby D Koetter
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2020
- Certification date
- Feb 3, 2020
- Last updated
- Feb 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.020052 | OH | Yes |
Practice location
1 Wyoming StDayton, OH 45409-2722
Phone 937-208-6173 · Fax 937-208-3843
Mailing address
Po Box 632317Cincinnati, OH 45263-2317
Phone 717-263-5562 · Fax 717-263-1566
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