Shannon S Desimone is a Family in Wilton, Connecticut. Shannon S Desimone practices all healthcare services and medical treatments related to Family. The NPI Number for Shannon S Desimone is 1669456976. The last update date is 2019-09-10.
Shannon S Desimone's current location address is 14 Tanners Dr, Wilton, Connecticut. You can contact this provider via phone number 2034239416. The mailing address for Shannon S Desimone is 14 Tanners Dr, Wilton, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shannon S Desimone |
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Address | 14 Tanners Dr, Wilton, Connecticut |
Phone Number | 2034239416 |
Fax Number | |
Sole Proprietor | N |
Credentials | APRN |
NPI Number Detail
NPI Number | 1669456976 |
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Provider Enumeration Date | 2005-11-30 |
Last Updated Date | 2019-09-10 |
Provider Mailing Address Detail
Address | 14 Tanners Dr |
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City | Wilton |
State | Connecticut (CT) |
Post Code | 68971117 |
Phone Number | 2034239416 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 3221 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4252409 | CT | -- |
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What is the unique provider identifier assigned to Shannon S Desimone?
The Shannon S Desimone has been issued the NPI (National Provider Identifier) 1669456976 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Shannon S Desimone located?
The Shannon S Desimone is located at 14 Tanners Dr, Wilton, CT 68971117.
What is Shannon S Desimone's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shannon S Desimone's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did Shannon S Desimone receive its 1669456976 assignment from the Centers for Medicare & Medicaid Services?
The Shannon S Desimone was assigned its 1669456976 on 2005-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Shannon S Desimone, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shannon S Desimone, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-09-10.