Individual
MS. SHANNON MARIE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4897 N WATER TOWER RD, AUSTIN, IN 47102-8643
(812) 794-9158
Mailing address
4897 N WATER TOWER RD, AUSTIN, IN 47102-8643
(812) 794-9158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28156307A
IN
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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