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Individual
SHANNON EILEEN MCKAIG
Active
Individual
SHANNON EILEEN MCKAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2058032
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005963900
—
FL
Enumeration date
06/06/2012
Last updated
09/25/2012
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