Nicholle Elizabeth Shannon, CRNP
Nurse Practitioner in Center Valley, PA. Individual provider (NPI-1).
NPI number1164094967
StatusActive
Last updated in NPPESDec 13, 2021
Details
- NPI
- 1164094967
- Entity type
- Individual (NPI-1)
- Name
- Nicholle Elizabeth Shannon
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2021
- Certification date
- Dec 13, 2021
- Last updated
- Dec 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN673311 | PA | Yes |
Other names
- Nicholle Elizabeth Daley (Former Name)
Practice location
5445 Lanark Rd Fl 3Center Valley, PA 18034-8694
Phone 484-526-7300 · Fax 866-449-5832
Mailing address
5445 Lanark Rd Fl 3Center Valley, PA 18034-8694
Phone 484-526-7300 · Fax 866-449-5832
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 26 Nurse Practitioner providers in Center Valley · All 329 providers in Center Valley
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