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Individual

SHANNON M NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1700 6TH AVE S, BIRMINGHAM, AL 35233
(205) 934-3411
Mailing address
1700 6TH AVE S, BIRMINGHAM, AL 35233-1802
(205) 934-3411

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-166605
AL
363LN0000X
Neonatal Nurse Practitioner
Primary
RN300063
GA

Other

Enumeration date
04/01/2019
Last updated
07/30/2021
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