Individual
SHANNON TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4278 28TH ST N, ST PETERSBURG, FL 33714-3922
(727) 526-9135
(727) 526-4346
Mailing address
2701 54TH AVE S, ST PETERSBURG, FL 33712-4777
(727) 867-5788
(727) 867-3255
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9248104
FL
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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