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Individual
SHANNON CAMPBELL
Active
Individual
SHANNON CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026.0103043
VT
363L00000X
Nurse Practitioner
Primary
APRN11013387
FL
363LF0000X
Family Nurse Practitioner
101.0120646
VT
Other
Enumeration date
08/17/2015
Last updated
08/04/2021
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