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Individual
MS. SHAUNTEL NICHOLE MARCIN
Active
Individual
MS. SHAUNTEL NICHOLE MARCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28219930A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012899A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102613645
ANTHEM
IN
05
—
300065789
—
IN
Enumeration date
06/17/2022
Last updated
02/19/2024
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