Individual
SHANELL RENEA ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1700 E 9TH AVE, WINFIELD, KS 67156-3220
(620) 221-0110
(620) 221-0623
Mailing address
1700 E 9TH AVE, WINFIELD, KS 67156-3220
(620) 221-0110
(620) 221-0623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
46217
KS
Other
Enumeration date
11/18/2008
Last updated
12/23/2009
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