RYAN SHANNON

MONTGOMERY, AL
NPI1194322271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: AL  1-159336)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: AL  1-159336)
363LP2300X Nurse Practitioner, Primary Care
(Licence: AL  1-159336)
Enumeration Date2020-10-02
Last Update Date2020-10-02
Business Address
RYAN SHANNON NP
1722 PINE ST STE 700
MONTGOMERY, AL 36106-1125
Phone number: 334-834-1300
Mailing Address
RYAN SHANNON NP
PO BOX 242848
MONTGOMERY, AL 36124-2848
Phone number: 334-270-9914