SHANNON R RUSSOM

WILLISTON, VT
NPI1013948850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VT  1010017858)
Enumeration Date2006-07-06
Last Update Date2007-07-08
Business Address
Ms. SHANNON R RUSSOM N.P.
353 BLAIR PARK RD
WILLISTON, VT 05495-7530
Phone number: 802-847-1600
Mailing Address
Ms. SHANNON R RUSSOM N.P.
87 CARSE RD
HUNTINGTON, VT 05462-9550
Phone number: 802-434-4195