Individual
SHAWN MARIE SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
75 CLAREMONT ST, KALISPELL, MT 59901-3585
(406) 752-8282
(406) 257-2225
Mailing address
1017 DUN MOVIN LN, KALISPELL, MT 59901-8434
(406) 752-8282
(406) 257-2225
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NUR-APRN-LIC-100205
MT
363LW0102X
Women's Health Nurse Practitioner
RN16927
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4302363
—
MT
Enumeration date
06/28/2006
Last updated
10/05/2016
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