SHANNON LEIGH MIMS

FORT MYERS, FL
NPI1457828899
Former NameSHANNON LEIGH ORAMA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  ARNP9363950)
Enumeration Date2018-10-24
Last Update Date2018-10-24
Business Address
Mrs. SHANNON LEIGH MIMS
12670 WHITEHALL DR
FORT MYERS, FL 33907-3619
Phone number: 239-936-3554
Mailing Address
Mrs. SHANNON LEIGH MIMS
19581 LANSHELL DRIVE
NORTH FORT MYERS, FL 33917
Phone number: 703-582-5630