Individual
SHANNON EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CCM
Contact information
Practice address
1033 KIWI CT, MERCED, CA 95340-8358
(209) 840-3095
Mailing address
1033 KIWI CT, MERCED, CA 95340-8358
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95060422
CA
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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