Individual provider · Type 1 NPI
Shannon Nowelle Myers
Mastectomy Fitter · Osage Beach, MO
NPI number
1891626487
Active
Practice location
4681 Osage Beach Pkwy
Osage Beach, MO 65065-2069
Mailing address
PO Box 1265
Lake Ozark, MO 65049-1265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | C73524 (MO) |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
About NPI 1891626487
Shannon Nowelle Myers's National Provider Identifier is 1891626487, issued on May 25, 2026. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Osage Beach, MO. The record was last updated on May 25, 2026.