Individual
SHANNON LEE BIERIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, CNS
Contact information
Practice address
275 S PERKINS RD, STILLWATER, OK 74074-3665
(405) 334-5272
Mailing address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(888) 990-4279
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
59027
OK
364SA2100X
Acute Care Clinical Nurse Specialist
59027
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200330130A
—
OK
Enumeration date
12/10/2010
Last updated
02/13/2018
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