Individual provider · Type 1 NPI
Shannon Marie Deen, RN
Administrator Registered Nurse · Fresno, CA
NPI number
1245047505
Active
Practice location
2615 E Clinton Ave Ste 2A07-C
Fresno, CA 93703-2223
Mailing address
7121 N La Paz Ave
Fresno, CA 93722-3859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 604459 (CA) |
Administrator Registered Nurse: Definition to come...
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About NPI 1245047505
Shannon Marie Deen, RN's National Provider Identifier is 1245047505, issued on Dec 11, 2024. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Fresno, CA. The record was last updated on Dec 11, 2024.