SHANNON MICHELE GAVIN

CHESTERTON, IN
NPI1801199070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  2010007825)
Enumeration Date2010-12-09
Last Update Date2016-05-26
Business Address
-- SHANNON MICHELE GAVIN MSN, RN, FNP-BC
407 W INDIANA AVE
CHESTERTON, IN 46304-2350
Phone number: 219-763-8112
Mailing Address
-- SHANNON MICHELE GAVIN MSN, RN, FNP-BC
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-764-3251
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