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Individual

MRS. SHANNON NICOLE HEPLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1174 W MICHIGAN AVE STE B, MARSHALL, MI 49068-1625
(269) 789-4390
Mailing address
9839 GAVIN LN, BATTLE CREEK, MI 49014-7400
(269) 924-9786

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704277919
MI
363L00000X
Nurse Practitioner
Primary
4704277919
MI

Other

Enumeration date
02/12/2020
Last updated
04/24/2023
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