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Individual

MRS. SHANNON K RUMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
6630 S MCCARRAN BLVD, SUITE A4, RENO, NV 89509-6158
(775) 828-2873
(775) 828-2889
Mailing address
6630 S MCCARRAN BLVD, SUITE A4, RENO, NV 89509-6158
(775) 828-2873
(775) 828-2889

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN00872
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000507788
NV
01
11580703
CAQH
NV
Enumeration date
04/26/2006
Last updated
07/20/2010
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