Individual provider · Type 1 NPI
Shannon Cherie Nanaeto, MS, APRN-CNP
Primary Care Nurse Practitioner · Catoosa, OK
NPI number
1730963596
Active
Practice location
1755 N Highway 66 Ste G
Catoosa, OK 74015-2717
Mailing address
318 Tribute Trl
Chouteau, OK 74337-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 211952 (OK) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1730963596
Shannon Cherie Nanaeto, MS, APRN-CNP's National Provider Identifier is 1730963596, issued on Aug 22, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Catoosa, OK. The record was last updated on Mar 1, 2026.