Creedon, Shannon

Creedon, Shannon is an sole proprietor health care provider with primary practice located at 3488 Depew Ave , Port Charlotte FL 33952-7015. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Creedon, Shannon can be contacted via phone (941) 764-7923.

Contact Information

Primary practice address
3488 Depew Ave Port Charlotte FL 33952-7015
Phone: (941) 764-7923
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 686564 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN11014376 Florida

Profile Details

NPI number 1548639487
LBN Legal business name Creedon, Shannon
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2015
Last updated Jul 30th, 2021 - 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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