Individual
SHANNON RENE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
RN51503
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP201001
ME
Other
Enumeration date
02/28/2018
Last updated
08/01/2023
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