Individual provider · Type 1 NPI
Shane Clinton Williamon I, CRNP
Acute Care Nurse Practitioner · Anniston, AL
NPI number
1881920353
Active
Practice location
901 Keith Avenue
Anniston, AL 36202
Fax (256) 236-8636
Mailing address
P.o. Box 1890
Anniston, AL 36203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 1-078396 (AL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1881920353
Shane Clinton Williamon I, CRNP's National Provider Identifier is 1881920353, issued on Oct 19, 2009. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Anniston, AL. The record was last updated on Oct 19, 2009.