Individual
SHANNON NICOLE LAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1725 S NAPERVILLE RD STE 206, WHEATON, IL 60189-5855
(630) 653-6441
Mailing address
2040 NORFOLK CT, UNION GROVE, WI 53182-6603
(661) 313-0135
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209025311
IL
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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