Individual provider · Type 1 NPI
Shannon Creedon, CPNP
Pediatric Nurse Practitioner · Port Charlotte, FL
NPI number
1548639487
Active
Practice location
3488 Depew Ave
Port Charlotte, FL 33952-7015
Mailing address
47 Briggsboro Ln
Fairport, NY 14450-3805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 686564 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | APRN11014376 (FL) |
Pediatric Nurse Practitioner: Definition to come...
3 other providers at this address
Other pediatric nurse practitioner providers in Port Charlotte
About NPI 1548639487
Shannon Creedon, CPNP's National Provider Identifier is 1548639487, issued on Sep 22, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Port Charlotte, FL. The record was last updated on Jul 30, 2021.