Individual
SHANNON BRE ANNA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2937 QUANTUM LAKES DR, BOYNTON BEACH, FL 33426-8303
(561) 704-9305
Mailing address
2937 QUANTUM LAKES DR, BOYNTON BEACH, FL 33426-8303
(561) 704-9305
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11009191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11009191
LICENSE NUMBER
—
Enumeration date
09/28/2020
Last updated
09/28/2020
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