Individual
SHANNON NICOLE MARSDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1307 PORTER WAGONER BLVD, WEST PLAINS, MO 65775-1828
(417) 255-8645
Mailing address
1423 N JEFFERSON AVE STE B100, SPRINGFIELD, MO 65802-1917
(417) 269-8817
(417) 269-8744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015016244
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200050408
—
MO
Enumeration date
06/12/2015
Last updated
05/26/2025
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