Individual
SHANNON BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2103 INGERSOLL AVE, DES MOINES, IA 50312-5227
(515) 279-6424
Mailing address
5916 SE 45TH ST, DES MOINES, IA 50320-9672
(641) 891-7607
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A163509
IA
Other
Enumeration date
05/25/2021
Last updated
01/10/2023
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