Individual
SHANNON M MENTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1236 E RUSHOLME ST, SUITE 300, DAVENPORT, IA 52803-2434
(563) 324-2992
(563) 324-8562
Mailing address
1236 E RUSHOLME ST, SUITE 300, DAVENPORT, IA 52803-2434
(563) 324-2992
(563) 324-8562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A088931
IA
Other
Enumeration date
09/14/2009
Last updated
02/11/2021
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