| 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 | 2025-04-23 |