| NPI | 1982909693 |
|---|---|
| Former Name | SHANNON L DURSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 1315) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 33695.1315) |
| 363L00000X Nurse Practitioner (Licence: WI 4328) | |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2022-11-03 |