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Individual

SHANNON CHERIE NANAETO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, APRN-CNP

Contact information

Practice address
1755 N HIGHWAY 66 STE G, CATOOSA, OK 74015-2717
(918) 260-7631
Mailing address
318 TRIBUTE TRL, CHOUTEAU, OK 74337-5000
(918) 260-7631

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
211952
OK

Other

Enumeration date
08/22/2023
Last updated
03/01/2026
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