| NPI | 1972005874 |
|---|---|
| Former Name | SHANNON ELIZABETH WELDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 67625) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 8E886C5C) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61052215) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201807632NP-PP) | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2024-03-07 |