Individual provider · Type 1 NPI
Shannon Morgan Mayville, APN
Gerontology Nurse Practitioner · Bonham, TX
NPI number
1043322191
Active
Practice location
1201 E 9th St
Bonham, TX 75418-4059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | A01383 ANP (AR) |
| Gerontology Nurse Practitioner | 363LG0600X | 1480 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1043322191
Shannon Morgan Mayville, APN's National Provider Identifier is 1043322191, issued on Aug 31, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bonham, TX. The record was last updated on Mar 1, 2012.