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Dr. Shannon Nugent, MD

Student in an Organized Health Care Education/Training Program in Philadelphia, PA. Individual provider (NPI-1).

NPI number1841985652
StatusActive
Last updated in NPPESApr 24, 2025

Details

NPI
1841985652
Entity type
Individual (NPI-1)
Name
Dr. Shannon Nugent
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 7, 2023
Certification date
Apr 24, 2025
Last updated
Apr 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3600 Spruce St
Philadelphia, PA 19104-4211

Phone 215-662-7883

Mailing address

2300 Delancey Pl Apt 2
Philadelphia, PA 19103-6462

Phone 609-923-6813

Other practice locations

3600 Spruce St
Philadelphia, PA 19104-4211

Phone 215-662-7883

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