| NPI | 1154887214 |
|---|---|
| Professional Name | SHANNON GREAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 6619) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21994) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2023-12-18 |