Organization
SHANNAN SOUZA APRN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNAN SOUZA APRN-CNP (OWNER)
(479) 495-0821
Entity
Organization
Contact information
Practice address
5150A SR 247, POTTSVILLE, AR 72858-6002
(479) 567-5680
(479) 567-5679
Mailing address
5150A SR 247, POTTSVILLE, AR 72858-6002
(479) 567-5680
(479) 567-5679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
11/02/2022
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