Individual
SHANNON GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
719 DETROIT AVE, DANVILLE, AR 72833-9607
(479) 495-2241
Mailing address
719 DETROIT AVE, DANVILLE, AR 72833-9607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005040
AR
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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