Packard, Shannon Marie

Packard, Shannon Marie is an individual health care provider with primary practice located at 20751 W Market St , Buckeye AZ 85396-7893. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Packard, Shannon Marie can be contacted via phone (623) 463-5000.

Contact Information

Primary practice address
20751 W Market St Buckeye AZ 85396-7893
Phone: (623) 463-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 346186 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 290107 Arizona

Profile Details

NPI number 1043827769
LBN Legal business name Packard, Shannon Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2020
Last updated Nov 24th, 2025 - 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.

Request for update

Popular Providers