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Individual
SHANNON DALE CALLAN
Active
Individual
SHANNON DALE CALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9232465
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP9232465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018480100
—
FL
01
—
WXN9Q
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/27/2014
Last updated
02/02/2026
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