Individual
SHANNON MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 SAN JERONIMO DR, ANCHORAGE, AK 99508-2870
(907) 793-3600
Mailing address
3600 SAN JERONIMO DR, ANCHORAGE, AK 99508-2870
(907) 793-3600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/24/2020
Last updated
09/29/2023
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