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Individual

SHANNON RENAE BASSETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1212 PLEASANT ST STE 405, DES MOINES, IA 50309-1413
(515) 241-4000
Mailing address
522 NE STONERIDGE DR, ANKENY, IA 50021-4116
(515) 447-3114

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A160964
IA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
A160964
IA

Other

Enumeration date
09/25/2021
Last updated
11/17/2023
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