Individual
SHANNON NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 627-7000
Mailing address
2132 LAKEVIEW CIR, MATTHEWS, NC 28105-7552
(704) 351-3316
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
72882
NC
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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