Anais Branwen Shannon
Family Medicine in Carlsbad, CA. Individual provider (NPI-1).
NPI number1447422845
StatusActive
Last updated in NPPESDec 5, 2022
Details
- NPI
- 1447422845
- Entity type
- Individual (NPI-1)
- Name
- Anais Branwen Shannon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2008
- Certification date
- Dec 5, 2022
- Last updated
- Dec 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A116713 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
6860 Avenida EncinasCarlsbad, CA 92011-3201
Phone 833-574-2273
Mailing address
6860 Avenida EncinasCarlsbad, CA 92011-3201
Phone 833-574-2273
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