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Individual

MS. SHANNON M. STEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
300 FAULKNER DR, BAY MINETTE, AL 36507-2771
(251) 675-9395
(251) 675-9398
Mailing address
PO BOX 9158, MOBILE, AL 36691-0158
(251) 460-0326
(251) 460-2846

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-085969
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-085969
REGISTERED NURSE LICENSE
AL
Enumeration date
03/07/2007
Last updated
04/09/2009
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