Individual
SHANNON DICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 HOWARD AVE STE B, ALTOONA, PA 16601-4810
(814) 942-1903
(814) 505-1100
Mailing address
201 CHESTNUT AVE, ALTOONA, PA 16601-4927
(814) 946-5411
(814) 940-8471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN649733
PA
Other
Enumeration date
01/14/2016
Last updated
03/15/2021
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