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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 1790750677 NPPES
Minnesota Other 8HL323 MEDICARE PTAN

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