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Individual
SHANA DANIELLE ROBERTSON
Active
Individual
SHANA DANIELLE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
910621
MS
363LF0000X
Family Nurse Practitioner
Primary
37767
TN
363LF0000X
Family Nurse Practitioner
907057
MS
Other
Enumeration date
03/27/2023
Last updated
09/24/2025
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