ELISE SHANNON PEANEY WILDERN

LANSING, MI
NPI1376138644
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MI  4704292079)
Enumeration Date2021-03-08
Last Update Date2023-11-19
Business Address
MRS. ELISE SHANNON PEANEY WILDERN FNP-C
3404 PATIENT CARE DR
LANSING, MI 48911-4217
Phone number: 517-267-0200
Mailing Address
MRS. ELISE SHANNON PEANEY WILDERN FNP-C
137 CANTERBURY DR
CHARLOTTE, MI 48813-1038
Phone number: 517-896-7119
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