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Individual
MRS. SHANNON JO SCHROETTER
Active
Individual
MRS. SHANNON JO SCHROETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
C154146
IA
363LA2100X
Acute Care Nurse Practitioner
C154146
IA
363LP0200X
Pediatric Nurse Practitioner
Primary
C154146
IA
363LP0200X
Pediatric Nurse Practitioner
R 217536-0
MN
Other
Enumeration date
12/23/2013
Last updated
04/16/2026
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