Individual provider · Type 1 NPI

Shannon Moeggenborg, APRN, FNP-C

Family Nurse Practitioner · Traverse City, MI

NPI number 1528467669 Active

Practice location

1105 Sixth St
Traverse City, MI 49684-2349

Fax (801) 740-2847

Mailing address

4624 N Spider Lake Rd
Traverse City, MI 49696-8440

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704265833 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1528467669

Shannon Moeggenborg, APRN, FNP-C's National Provider Identifier is 1528467669, issued on Aug 14, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Traverse City, MI. The record was last updated on Jul 26, 2023.