Corcuera, Shannon Marie
Corcuera, Shannon Marie is an sole proprietor health care provider with primary practice located at 2360 E Pershing Blvd , Cheyenne WY 82001-5356. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Corcuera, Shannon Marie can be contacted via phone (307) 778-7550.Contact Information
Primary practice address
2360 E Pershing Blvd
Cheyenne WY 82001-5356
Phone: (307) 778-7550
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 32571 | Tennessee |
Profile Details
NPI number | 1952016206 |
---|---|
LBN Legal business name | Corcuera, Shannon Marie |
Credentials | MSN, APRN, ACNPC-AG |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 20th, 2023 |
Last updated | Sep 28th, 2023 - about 2 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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