Individual
SHANNON ELIZABETH FAH
Active
Individual
SHANNON ELIZABETH FAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
2457064
MN
363LF0000X
Family Nurse Practitioner
Primary
10893
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2023
Last updated
11/13/2025
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