Individual
MRS. SHANNON LEE FEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3625 W CACTUS RD, PHOENIX, AZ 85029-3198
(623) 915-8005
(623) 915-8102
Mailing address
3625 W CACTUS RD, PHOENIX, AZ 85029-3198
(623) 915-8005
(623) 915-8102
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN161897
AZ
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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