Individual
MRS. SHANNON M WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9209 PHOENIX VILLAGE PKWY, O FALLON, MO 63368-4280
(636) 561-4613
(636) 561-4610
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9016
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015007598
MO
Other
Enumeration date
05/01/2015
Last updated
01/25/2016
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