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Individual
SHAWN MARLENE NIES
Active
Individual
SHAWN MARLENE NIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
041471170
IL
163WE0003X
Emergency Registered Nurse
2010023146
MO
163WE0003X
Emergency Registered Nurse
249192
WI
363LF0000X
Family Nurse Practitioner
2022006057
MO
363LF0000X
Family Nurse Practitioner
Primary
209024852
IL
Other
Enumeration date
01/27/2022
Last updated
06/09/2022
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