Individual
SHANNON NICOLE CULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1113 S STATE ST, DOVER, DE 19901-4112
(302) 734-7676
Mailing address
2519 NICHOLBY DR, WILMINGTON, DE 19808-4212
(302) 373-3753
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
L1-0039601
DE
363L00000X
Nurse Practitioner
LG-0001302
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0001302
DE
Other
Enumeration date
08/11/2019
Last updated
11/27/2023
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