Individual
SHANNALEE SENIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, AGNP-C
Contact information
Practice address
5025 S ASH AVE STE A, TEMPE, AZ 85282-6839
(623) 246-5700
Mailing address
5025 S ASH AVE STE A, TEMPE, AZ 85282-6839
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
243295
AZ
Other
Enumeration date
03/31/2020
Last updated
01/12/2025
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