Most Relevant Information
Provider Data
| NPI Number: | 1003414624 |
| Provider Name: | ANNIE SHELTON RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN409689 |
Most Important Dates
| Enumeration Date: | 10/15/2020 |
| Last Updated: | 10/15/2020 |
Provider Practice Location
2600 6TH ST SW
CANTON
OH
447101702
Practice Location Phone/Fax
| Phone: | 3304550374 |
| Fax: |
Provider Mailing Location
625 CLEVELAND AVE NW
CANTON
OH
447021805
Provider Mailing Phone/Fax
| Phone: | 3004550374 |
| Fax: | 3304536716 |