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Individual
MR. SHAWN MCNALLY
Active
Individual
MR. SHAWN MCNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704309327
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11044830
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
4704309327
MI
Other
Enumeration date
06/14/2021
Last updated
07/14/2026
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