Individual
KATIE SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
910 N EISENHOWER AVE, MASON CITY, IA 50401-1525
(641) 428-6999
(641) 428-6678
Mailing address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 428-6999
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
H161141
IA
Other
Enumeration date
10/20/2020
Last updated
07/09/2025
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