SHANNON ELAINE HAERTER

LADY LAKE, FL
NPI1740007434
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11035508)
Enumeration Date2024-09-24
Last Update Date2025-01-06
Business Address
SHANNON ELAINE HAERTER APRN
737 HIGHWAY 466
LADY LAKE, FL 32159-6340
Phone number: 352-742-1171
Mailing Address
SHANNON ELAINE HAERTER APRN
PO BOX 935921
ATLANTA, GA 31193-5921
Phone number:
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