Individual provider · Type 1 NPI

Shannon Carlson

Acute Care Nurse Practitioner · Springfield, OR

NPI number 1700285582 Active

Practice location

3311 Riverbend Dr
Springfield, OR 97477-8800

Fax (541) 302-0786

Mailing address

1115 SE 164th Ave Dept 358
Vancouver, WA 98683-8004

Other practice locations

  • 38135 Market Sq, Zephyrhills, FL 33542-7505 · (352) 567-0188

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XARNP 9380645 (FL)
Acute Care Nurse Practitioner Primary 363LA2100X201703390NP-PP (OR)

Acute Care Nurse Practitioner: Definition to come...

24 other providers at this address

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About NPI 1700285582

Shannon Carlson's National Provider Identifier is 1700285582, issued on Aug 18, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Springfield, OR. The record was last updated on Jul 21, 2022.