Individual
DOROTHY ANNE SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1021 HITT ST, COLUMBIA, MO 65212-0001
(573) 882-2272
(573) 884-1795
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
2014028450
MO
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
2014028450
MO
Other
Enumeration date
09/09/2014
Last updated
07/16/2024
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