Individual
SHANNON DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 EVERETT AVE, PALO ALTO, CA 94301-1031
(650) 690-2757
Mailing address
115 EVERETT AVE, PALO ALTO, CA 94301-1031
(650) 690-2757
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95005786
CA
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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