Individual
SHANNON CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15 S DUPONT HWY, DOVER, DE 19901-7430
(302) 674-1514
Mailing address
22 E ABBEY DR, TOWNSEND, DE 19734
(203) 528-8418
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG-0000902
DE
Other
Enumeration date
12/21/2015
Last updated
08/26/2017
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