Individual
SHANNON COLLEEN TROSPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 662-3311
Mailing address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 662-3311
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
277004579
IL
363LA2100X
Acute Care Nurse Practitioner
71017373A
IN
Other
Enumeration date
01/13/2020
Last updated
11/13/2025
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