Individual
SHAUNA MCKEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 ALDEN PL, VERGENNES, VT 05491-1102
(802) 222-5201
(802) 877-0012
Mailing address
1 ALDEN PL, VERGENNES, VT 05491-1102
(802) 222-5201
(802) 877-0012
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
101.0108269
VT
363LA2200X
Adult Health Nurse Practitioner
Primary
101.0108269
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104145069
NPI
—
Enumeration date
05/18/2010
Last updated
07/30/2019
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