Individual provider · Type 1 NPI
Shannon D. Krueger
Diabetes Educator Registered Nurse · Ada, OK
NPI number
1033764378
Active
Practice location
430 N Monte Vista St
Ada, OK 74820-4610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse Primary | 163WD0400X | 754947 (TX) |
Diabetes Educator Registered Nurse: Definition to come...
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About NPI 1033764378
Shannon D. Krueger's National Provider Identifier is 1033764378, issued on Aug 5, 2019. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Ada, OK. The record was last updated on Aug 5, 2019.