Individual
MS. SARAH SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
364 STATE RD, VINEYARD HAVEN, MA 02568-5624
(508) 693-4400
Mailing address
364 STATE RD, VINEYARD HAVEN, MA 02568-5624
(508) 693-4400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1624469
CO
163W00000X
Registered Nurse
RN2331196
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2331196
MA
Other
Enumeration date
06/17/2024
Last updated
02/18/2026
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