| NPI | 1407890304 |
|---|---|
| Other Name | SHANNON FENNELL PATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1742512) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP1742512) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2017-03-06 |