Alfonso, Shannon

Alfonso, Shannon is an individual health care provider with primary practice located at 1015 25Th St Se , Salem OR 97301-5049. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Alfonso, Shannon can be contacted via phone (971) 930-4318.

Contact Information

Primary practice address
1015 25Th St Se Salem OR 97301-5049
Phone: (971) 930-4318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 202002775NP-PP Oregon

Profile Details

NPI number 1518588904
LBN Legal business name Alfonso, Shannon
Credentials DNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2020
Last updated Apr 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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