| NPI | 1417176926 |
|---|---|
| Former Name | SHAWN COLLEEN VAN BUREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 1813602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 1813602) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-04-01 |