HEATHER SHOUP, CNP

CNP

Gerontology Nurse Practitioner

NPI: 1407251523IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

RN317714(OH)

Nurse Practitioner

Nurse Practitioner

Code: 363L00000X

COA16815NP(OH)

Gerontology Nurse PractitionerPrimary

Nurse Practitioner — Gerontology

Code: 363LG0600X

APRN.CNP.16815(OH)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2014

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Contact & Hours

Address: 2350 MIAMI VALLEY DR STE 500
CENTERVILLE, OH 45459
Phone: (937) 293-1622

Locations (2)

Practice Location

2350 MIAMI VALLEY DR STE 500, CENTERVILLE, OH

Practice Location

9000 N Main St Ste 200, Englewood, OH

Quick Facts

NPI: 1407251523
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 3
Locations: 2
Years in Practice: 12

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