Individual
SHAWNA RENEA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3045 W REPUBLIC RD, SPRINGFIELD, MO 65807-4682
(417) 889-0056
Mailing address
3045 W REPUBLIC RD, SPRINGFIELD, MO 65807-4682
(417) 889-0056
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017039078
MO
Other
Enumeration date
11/28/2017
Last updated
05/17/2019
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