Individual
SHANNON CREGEUR DARKET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2240 WINROW AVE, USA MEDDAC, RWBAHC, FORT HUACHUCA, AZ 85613
(734) 834-4096
Mailing address
2839 GREENBRIER RD, SIERRA VISTA, AZ 85650-5601
(734) 834-4096
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704291576
MI
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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