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Individual
DIANNA MARIE SHANNON
Active
Individual
DIANNA MARIE SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11030100
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11030100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122063700
—
FL
Enumeration date
02/26/2024
Last updated
07/06/2026
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