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
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | RN123119 (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.