Marcia Ann Shannon, FNP C
Nurse Practitioner in Ogema, MN. Individual provider (NPI-1).
NPI number1790750677
StatusActive
Last updated in NPPESJun 6, 2012
Details
- NPI
- 1790750677
- Entity type
- Individual (NPI-1)
- Name
- Ms. Marcia Ann Shannon
- Credential
- FNP C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2006
- Last updated
- Jun 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN24590 | MT | Yes |
Other names
- Marcia Ann Phillips (Other Name)
Practice location
40520 County Highway 34Ogema, MN 56569-9612
Phone 218-983-4300 · Fax 218-983-6360
Mailing address
40520 County Highway 34Ogema, MN 56569-9612
Phone 218-983-4300 · Fax 218-983-6360
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