# SHANNON BRADY-POWERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669665303
- **Gender:** F
- **Credential:** N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WX0601X | Otorhinolaryngology & Head-Neck Registered Nurse | RN536907 | PA | — |
| 363L00000X | Nurse Practitioner | SP009125 | PA | Yes |

## Other

- **Enumeration date:** 08/27/2007
- **Last updated:** 02/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 102879964 | — | PA |
