| NPI | 1669788204 |
|---|---|
| Former Name | SHANNON L PAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: IN 28123065A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71003354A) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2019-04-29 |