Shanon Marjean Anderson, RN
Registered Nurse in Bend, OR. Individual provider (NPI-1).
NPI number1811745441
StatusActive
Last updated in NPPESMay 8, 2024
Details
- NPI
- 1811745441
- Entity type
- Individual (NPI-1)
- Name
- Shanon Marjean Anderson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2024
- Certification date
- May 8, 2024
- Last updated
- May 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 00097562RN | OR | Yes |
Practice location
520 Nw Wall StBend, OR 97703-2608
Phone 541-213-9515
Mailing address
520 Nw Wall StBend, OR 97703-2608
Phone 541-213-9515
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