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Individual
MRS. SHANNON NICOLE CRIPE
Active
Individual
MRS. SHANNON NICOLE CRIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.368813
IL
163W00000X
Registered Nurse
28174626A
IN
363LF0000X
Family Nurse Practitioner
209008522
IL
363LF0000X
Family Nurse Practitioner
Primary
71003675A
IN
Other
Enumeration date
12/08/2010
Last updated
11/30/2017
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