Individual
SHANNA CHERMAINE BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(372) 616-1223
Mailing address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6122
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221478
LA
Other
Enumeration date
10/04/2021
Last updated
04/19/2022
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