Individual
SHANNON MCGLOTHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
651 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5523
(812) 676-4541
Mailing address
651 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5523
(812) 676-4541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28191001A
IN
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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