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Individual
SHANNON RENAE BASSETT
Active
Individual
SHANNON RENAE BASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A160964
IA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
A160964
IA
Other
Enumeration date
09/25/2021
Last updated
11/17/2023
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