Individual provider · Type 1 NPI

Shannon Dale

Ambulatory Care Registered Nurse · Haughton, LA

NPI number 1730003500 Active

Practice location

8511 Timberwood Ln
Haughton, LA 71037-9377

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201XRN123119 (LA)

Ambulatory Care Registered Nurse: Definition to come...

About NPI 1730003500

Shannon Dale's National Provider Identifier is 1730003500, issued on Aug 5, 2026. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Haughton, LA. The record was last updated on Aug 5, 2026.