Individual provider · Type 1 NPI
Shannon Marie Corcuera, MSN, APRN, ACNPC-AG
Acute Care Nurse Practitioner · Cheyenne, WY
NPI number
1952016206
Active
Practice location
2360 E Pershing Blvd
Cheyenne, WY 82001-5356
Mailing address
1310 24th Ave S
Nashville, TN 37212-2637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 32571 (TN) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1952016206
Shannon Marie Corcuera, MSN, APRN, ACNPC-AG's National Provider Identifier is 1952016206, issued on Jan 20, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Cheyenne, WY. The record was last updated on Sep 28, 2023.