Individual provider · Type 1 NPI

Shannon Profanchik

Family Nurse Practitioner · Coppell, TX

NPI number 1376918862 Active

Practice location

546 E Sandy Lake Rd
Coppell, TX 75019-5786

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP129425 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1376918862

Shannon Profanchik's National Provider Identifier is 1376918862, issued on Dec 9, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Coppell, TX. The record was last updated on Dec 9, 2015.