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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831152834 NPPES
Iowa MEDICAID 1831152834

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