NPI | 1205816949 |
---|---|
Professional Name | SHAWN FITZGERALD BRIGANCE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-44831-101) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA J146927) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2020-08-19 |