Edmond, Shannon Dawn
Edmond, Shannon Dawn is an individual health care provider with primary practice located at 4480 Utica Ridge Rd , Bettendorf IA 52722-1656. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Edmond, Shannon Dawn can be contacted via phone (563) 742-5750.Contact Information
Primary practice address
4480 Utica Ridge Rd
Bettendorf IA 52722-1656
Phone: (563) 742-5750
Fax: (563) 742-4656
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 103775 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | K103775 | Iowa |
Profile Details
NPI number | 1831152834 |
---|---|
LBN Legal business name | Edmond, Shannon Dawn |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2006 |
Last updated | Feb 13th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831152834 | NPPES |
Iowa | MEDICAID | 1831152834 |
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