Individual
SHANNON ROSE WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
18550 US HIGHWAY 441 STE A, MOUNT DORA, FL 32757-6751
(352) 735-3755
(352) 735-3151
Mailing address
18550 US HIGHWAY 441, MOUNT DORA, FL 32757-6751
(352) 735-3755
(352) 735-3151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP3360292
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP3360292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021028900
—
FL
Enumeration date
04/01/2015
Last updated
02/10/2018
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