Individual provider · Type 1 NPI

Shannon Houghtlin, DO

Student in an Organized Health Care Education/Training Program · Fort Pierce, FL

NPI number 1053170183 Active

Practice location

1700 S 23rd St
Fort Pierce, FL 34950-4803

Call (772) 468-4554 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053170183

Shannon Houghtlin, DO's National Provider Identifier is 1053170183, issued on Mar 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Pierce, FL. The record was last updated on Mar 19, 2024.