SHANNON D STADELMANN

ENCINITAS, CA
NPI1922553908
Former NameSHANNON DOERSAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CA  95004762)
Enumeration Date2016-08-19
Last Update Date2019-03-28
Business Address
SHANNON D STADELMANN FNP
477 N EL CAMINO REAL SUITE 208A
ENCINITAS, CA 92024-1328
Phone number: 760-479-3900
Mailing Address
SHANNON D STADELMANN FNP
10790 RANCHO BERNARDO RD MAIL DROP 4S-205
SAN DIEGO, CA 92127-5705
Phone number: 760-479-3900