Individual
MS. DIANE MARIE SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3438 PA-764, DUNCANSVILLE, PA 16635
(814) 944-7000
(814) 944-5071
Mailing address
3438 ROUTE 764, DUNCANSVILLE, PA 16635-7803
(814) 944-7000
(814) 944-5071
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN510832L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN810532L
—
PA
Enumeration date
11/09/2021
Last updated
11/09/2021
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