Organization · Type 2 NPI
Shannon Wound Care Consultants LLC
Family Nurse Practitioner · Chicora, PA
NPI number
1649405960
Active
Practice location
318 Conerty Rd
Chicora, PA 16025-1820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP007840 (PA) |
Family Nurse Practitioner: Definition to come...
About NPI 1649405960
Shannon Wound Care Consultants LLC's National Provider Identifier is 1649405960, issued on May 17, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicora, PA. The record was last updated on Jul 11, 2009.