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Individual
ROBIN SUE SHANNON
Active
Individual
ROBIN SUE SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5006766
NC
363LF0000X
Family Nurse Practitioner
5006766
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2326129
MA
Other
Enumeration date
03/06/2014
Last updated
10/10/2019
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