Shannon, Marcia Ann
Shannon, Marcia Ann is an individual health care provider with primary practice located at 40520 County Highway 34 , Ogema MN 56569-9612. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shannon, Marcia Ann can be contacted via phone (218) 983-4300.Contact Information
Primary practice address
40520 County Highway 34
Ogema MN 56569-9612
Phone: (218) 983-4300
Fax: (218) 983-6360
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN24590 | Montana |
Profile Details
NPI number | 1790750677 |
---|---|
LBN Legal business name | Shannon, Marcia Ann |
Credentials | FNP C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2006 |
Last updated | Jun 6th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790750677 | NPPES |
Minnesota | Other | 8HL323 | MEDICARE PTAN |
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