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Individual

SHANNON CRAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
107 CLOCK TOWER SQ, PORTSMOUTH, RI 02871-1396
(401) 293-5930
(401) 293-0097
Mailing address
107 CLOCK TOWER SQ, PORTSMOUTH, RI 02871-1396
(401) 293-5930

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2269687
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN02272
RI

Other

Enumeration date
10/15/2012
Last updated
03/27/2023
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