Individual
COURTNEY BRIANNE SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
25 CONLEY RD, COLUMBIA, MO 65201-6477
(573) 884-0169
(573) 884-1137
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021044720
MO
Other
Enumeration date
11/03/2021
Last updated
09/10/2024
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