Individual provider · Type 1 NPI
Shannon Lee Smith, RN, BSN, PED-BC
Pediatric Registered Nurse · Bangor, ME
NPI number
1720994767
Active
Practice location
489 State St
Bangor, ME 04401-6616
Mailing address
12 Skyview Ave
Brewer, ME 04412-2379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 69303 (ME) |
Pediatric Registered Nurse: Definition to come...
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About NPI 1720994767
Shannon Lee Smith, RN, BSN, PED-BC's National Provider Identifier is 1720994767, issued on Aug 20, 2026. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Bangor, ME. The record was last updated on Aug 20, 2026.