Individual
SHANNON STIPANCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7154 MEDICAL CENTER DR, SPRING HILL, FL 34608-1329
(352) 596-1926
(352) 597-2154
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN9175221
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11018074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659036481
—
FL
Enumeration date
11/06/2021
Last updated
10/21/2024
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