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Individual
MRS. SHANNON MAE SCOLLY
Active
Individual
MRS. SHANNON MAE SCOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001228008
VA
163W00000X
Registered Nurse
R9440334
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9440334
FL
Other
Enumeration date
12/02/2016
Last updated
03/10/2023
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