Individual
SHANNON MICHELLE BAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1400 US HIGHWAY 61 STE G50, FESTUS, MO 63028-4142
(314) 366-4874
(314) 366-4875
Mailing address
1400 US HIGHWAY 61 STE G50, FESTUS, MO 63028-4142
(314) 366-4874
(314) 366-4875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019021586
MO
Other
Enumeration date
07/08/2019
Last updated
08/12/2022
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