Individual
MRS. SHANNON MICHELLE PRATTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2595 BENSON RD, SKANEATELES, NY 13152-9636
(925) 285-8341
Mailing address
2595 BENSON RD, SKANEATELES, NY 13152-9636
(925) 285-8341
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
683136
CA
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
02/15/2012
Last updated
12/05/2020
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