Individual
MS. SUSAN ELLEN SHINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, OBSTETRICS & GYNECOLOGY, LEBANON, NH 03756-0001
(603) 653-9300
Mailing address
ONE MEDICAL CENTER DRIVE, OBSTETRICS & GYNECOLOGY, LEBANON, NH 03756-0001
(603) 653-9300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
076632-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033739
—
VT
05
—
110095126A
—
MA
05
—
3114224
—
NH
Enumeration date
10/25/2006
Last updated
10/26/2018
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