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Individual
SHANNON CHAKEDIS
Active
Individual
SHANNON CHAKEDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
766408
CA
363L00000X
Nurse Practitioner
Primary
NP95010200
CA
363LA2200X
Adult Health Nurse Practitioner
COA.18791-NP
OH
Other
Enumeration date
12/16/2014
Last updated
07/11/2025
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