SHANNON BETH WARREN

CHICAGO, IL
NPI1518716828
Former NameSHANNON BETH CUMMINGS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209021511)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: AZ  306080)
Enumeration Date2024-05-17
Last Update Date2024-05-17
Business Address
SHANNON BETH WARREN
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 773-702-1000
Mailing Address
SHANNON BETH WARREN
9855 E IRVINGTON RD UNIT 145
TUCSON, AZ 85730-5231
Phone number: 219-851-2209