Individual
SHANNON DANHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
350 S LANDMARK AVE, BLOOMINGTON, IN 47403-5001
(812) 332-9874
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
28229345A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71014245A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300082716
—
IN
Enumeration date
08/09/2023
Last updated
02/16/2024
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