Individual
MRS. SHANNON CHRISTINE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11824 MULLAN GULCH RD, SAINT REGIS, MT 59866-9640
(702) 338-2888
Mailing address
11824 MULLAN GULCH RD, SAINT REGIS, MT 59866-9640
(702) 338-2888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
527091
CA
363LF0000X
Family Nurse Practitioner
Primary
NUR-LIC-159478
MT
Other
Enumeration date
10/04/2010
Last updated
01/02/2024
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