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Individual
MRS. SHANNON VIRGINIA COOK
Active
Individual
MRS. SHANNON VIRGINIA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC, WHNP
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
28169430A
IN
363LF0000X
Family Nurse Practitioner
0024171259
VA
363LF0000X
Family Nurse Practitioner
Primary
71006911A
IN
363LF0000X
Family Nurse Practitioner
RN1031235
DC
Other
Enumeration date
10/08/2010
Last updated
03/02/2017
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