SARAH ELIZABETH RUTH SHANNON

CARBONDALE, IL
NPI1902349863
Former NameSARAH ELIZABETH RUTH TURI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209016484)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: SD  CP001152)
Enumeration Date2016-11-28
Last Update Date2019-11-13
Business Address
SARAH ELIZABETH RUTH SHANNON APRN
2601 W MAIN ST
CARBONDALE, IL 62901
Phone number: 618-549-5361
Mailing Address
SARAH ELIZABETH RUTH SHANNON APRN
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200