Individual
SHANNON C MUNRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LS7243
ME
363LF0000X
Family Nurse Practitioner
AP081371
ME
363LF0000X
Family Nurse Practitioner
Primary
R049265
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431935199
—
ME
Enumeration date
10/02/2006
Last updated
12/15/2021
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