Individual provider · Type 1 NPI

Shannon Lynnette Enrico

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1104713619 Active

Practice location

5513 Prim Ct
Sacramento, CA 95820-5154

Call (530) 913-5804 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 1104713619

Shannon Lynnette Enrico's National Provider Identifier is 1104713619, issued on Jun 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Jun 18, 2025.