SHANNON IVES

EAST STROUDSBURG, PA
NPI1063919611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: PA  SP018102)
Enumeration Date2018-04-10
Last Update Date2018-11-12
Business Address
SHANNON IVES CRNP
228 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301-9435
Phone number: 570-426-2830
Mailing Address
SHANNON IVES CRNP
726 MAPLE GROVE RD
MOSCOW, PA 18444-6862
Phone number: 570-237-2312
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