Individual
SHAWNA HARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4066 DUNNICA AVE, SAINT LOUIS, MO 63116-3510
(636) 224-1700
Mailing address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1328
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201702920NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
2020011780
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500725205
—
OR
Enumeration date
09/17/2016
Last updated
03/03/2025
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