Individual
SHAWN MARIE DAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Contact information
Practice address
150 N SYKES CREEK PKWY STE 300, MERRITT ISLAND, FL 32953-3488
(321) 459-1192
(321) 459-2304
Mailing address
150 N SYKES CREEK PKWY STE 300, MERRITT ISLAND, FL 32953-3488
(321) 459-1192
(321) 459-2304
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9291971
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP9291971
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP9291971
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002172900
—
FL
05
—
118864300
—
FL
Enumeration date
08/03/2006
Last updated
03/31/2025
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