Individual
NICHOLLE ELIZABETH SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5445 LANARK RD FL 3, CENTER VALLEY, PA 18034-8694
(484) 526-7300
(866) 449-5832
Mailing address
5445 LANARK RD FL 3, CENTER VALLEY, PA 18034-8694
(484) 526-7300
(866) 449-5832
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN673311
PA
Other
Enumeration date
07/13/2021
Last updated
12/13/2021
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