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Individual

SHANNON R WEAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, CNM

Taxonomy

Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
2458332
MN
367A00000X
Advanced Practice Midwife
Primary
469
MN

Other

Enumeration date
09/04/2018
Last updated
12/08/2023
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