Individual
SHANNON WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 VONDERBURG DRIVE, SUITE 208, BRANDON, FL 33511
(813) 571-3777
Mailing address
4320 WALLACE CIR, TAMPA, FL 33611-3438
(813) 374-1244
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9253050
FL
363LP2300X
Primary Care Nurse Practitioner
ARNP9253050
FL
Other
Enumeration date
04/08/2014
Last updated
04/29/2014
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