Individual
SHANNON MAY BAGNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, FNP-BC
Contact information
Practice address
5401 S CONGRESS AVE STE 105, ATLANTIS, FL 33462-6636
(561) 740-0545
Mailing address
5401 S CONGRESS AVE STE 105, ATLANTIS, FL 33462-6636
(561) 740-0545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9480659
FL
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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