| NPI | 1013347665 |
|---|---|
| Former Name | SHANNON M MCGINITY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 100410) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-RN-LIC-71603) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0990549) | |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2015-12-03 |