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Individual

DR. SHANNON EILEEN KATILUS MAKOVIC

Active
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Individual

DR. SHANNON EILEEN KATILUS MAKOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, ARNP, NNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9336257
FL
363LN0000X
Neonatal Nurse Practitioner
ARNP9336257
FL
390200000X
Student in an Organized Health Care Education/Training Program
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020511800
FL
Enumeration date
01/30/2017
Last updated
04/20/2017
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