Individual
SHANNON D GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-9591
Mailing address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-9591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-75596
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002155
MEDICARE PTAN
KS
05
—
200860810A
—
KS
Enumeration date
02/14/2012
Last updated
06/04/2025
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