| NPI | 1730488834 |
|---|---|
| Other Name | CAITLIN MARIE SHANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6548) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 174529-30) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 6548-33) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 6548-33) | |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2023-08-01 |