Individual provider · Type 1 NPI

Shannon Marie Michaud, FNP-BC

Adult Health Nurse Practitioner · Prescott, AZ

NPI number 1093073041 Active

Practice location

1001 Willow Creek Rd Ste 2200
Prescott, AZ 86301-1614

Fax (928) 778-3026

Mailing address

PO Box 10880
Prescott, AZ 86304-0880

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X4704245947 (MI)
Adult Health Nurse Practitioner Primary 363LA2200X272010 (AZ)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1093073041

Shannon Marie Michaud, FNP-BC's National Provider Identifier is 1093073041, issued on Apr 27, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Prescott, AZ. The record was last updated on Feb 17, 2025.