Individual
SHANNON HENAMAN-THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2959 360TH ST, OSAGE, IA 50461-8517
(507) 440-7181
Mailing address
2959 360TH STREET, OSAGE, IA 50461
(507) 440-7191
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309506-031
WI
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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