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Individual
SHANNON SAVAGE
Active
Individual
SHANNON SAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
77860
KS
363LF0000X
Family Nurse Practitioner
53-77860-021
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53-77860-021
KS STATE BOARD OF NURSING
KS
Enumeration date
09/07/2017
Last updated
10/19/2022
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