Individual provider · Type 1 NPI
Lori Fontaine Shannon-Amely, NP
Critical Care Neonatal Nurse Practitioner · Los Angeles, CA
NPI number
1720329014
Active
Practice location
757 Westwood Plz
Los Angeles, CA 90095-7404
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | 439829 (CA) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
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About NPI 1720329014
Lori Fontaine Shannon-Amely, NP's National Provider Identifier is 1720329014, issued on Mar 12, 2013. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 29, 2020.