Individual
MRS. SHANNON G RESTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
11432 NW 101ST ST, YUKON, OK 73099-7463
(405) 501-4784
Mailing address
1076 COTTONWOOD LAKE DR, DIVIDE, CO 80814-9710
(405) 501-4784
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
209617
OK
Other
Enumeration date
06/30/2022
Last updated
10/16/2024
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