Individual
SHANNON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 674-4700
(302) 744-6407
Mailing address
34682 VILLA CIR UNIT 4305, LEWES, DE 19958-2724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0041067
DE
367500000X
Certified Registered Nurse Anesthetist
AC003805
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A10854
DE
Other
Enumeration date
12/30/2016
Last updated
05/01/2024
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