Individual
SHANNON LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN2333565
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2333565
MA
Other
Enumeration date
05/14/2024
Last updated
06/25/2024
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