Individual
SHALLA PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
PO BOX 27, KIMBALL, NE 69145-0027
(970) 580-6333
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
90671
NE
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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