Chittenden, Shannon Grace

Chittenden, Shannon Grace is an individual health care provider with primary practice located at 115 E Williams Field Rd Ste 101 , Gilbert AZ 85295-5231. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Chittenden, Shannon Grace can be contacted via phone (480) 270-8318.

Contact Information

Primary practice address
115 E Williams Field Rd Ste 101 Gilbert AZ 85295-5231
Phone: (480) 270-8318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 235623 Arizona

Profile Details

NPI number 1356947550
LBN Legal business name Chittenden, Shannon Grace
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2020
Last updated Mar 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356947550 NPPES
Arizona Other 235623 ARIZONA BOARD OF NURSING

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