Individual provider · Type 1 NPI
Shawn Brodess
Critical Care Medicine Registered Nurse · Dayton, OH
NPI number
1104547934
Active
Practice location
4100 W 3rd St
Dayton, OH 45428-9000
Mailing address
1138 S Main St
West Milton, OH 45383-1342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 381510 (OH) |
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 381510 (OH) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1104547934
Shawn Brodess's National Provider Identifier is 1104547934, issued on Sep 9, 2022. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Dayton, OH. The record was last updated on Sep 9, 2022.