Individual provider · Type 1 NPI

Shannon Marie Balog, DNP, FNP-C

Family Nurse Practitioner · Cleveland, OH

NPI number 1982171500 Active

Practice location

18101 Lorain Ave
Cleveland, OH 44111-5612

Call (216) 889-6412 Map

Mailing address

312 N Lake St
South Amherst, OH 44001-2828

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	APRN.CNP.023210 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1982171500

Shannon Marie Balog, DNP, FNP-C's National Provider Identifier is 1982171500, issued on Nov 1, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cleveland, OH. The record was last updated on Nov 1, 2018.