Individual
SHANNON LEIGH MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 LANDA ST, NEW BRAUNFELS, TX 78130-6172
(830) 629-3614
Mailing address
5105 BUNDYHILL CIR, AUSTIN, TX 78723-6110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
937104
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1048924
TX
Other
Enumeration date
07/20/2021
Last updated
07/31/2021
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