Individual
ROBIN E. SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
176084-4
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
176084-4
MN
Other
Enumeration date
10/20/2006
Last updated
04/19/2012
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