Wozniak, Shannon

Wozniak, Shannon is an individual health care provider with primary practice located at 630 Drake Ave , Sausalito CA 94965-1107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wozniak, Shannon can be contacted via phone (415) 339-8813.

Contact Information

Primary practice address
630 Drake Ave Sausalito CA 94965-1107
Phone: (415) 339-8813
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95001853 California

Profile Details

NPI number 1609807049
LBN Legal business name Wozniak, Shannon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Nov 16th, 2016 - about 10 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 1609807049 NPPES
Ohio MEDICAID 2515200

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