Shannon Grow in Wildwood - Family

Shannon Grow - NPI 1689620247

Shannon Grow is a Family in Wildwood, Florida. Shannon Grow practices all healthcare services and medical treatments related to Family. The NPI Number for Shannon Grow is 1689620247. The last update date is 2020-01-02.

Shannon Grow's current location address is 9580 N Us Highway 301, Wildwood, Florida. You can contact this provider via phone number 3526330703 and fax number 3526332232. The mailing address for Shannon Grow is 9580 N Us Highway 301, Wildwood, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Grow
Address 9580 N Us Highway 301, Wildwood, Florida
Phone Number 3526330703
Fax Number 3526332232
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1689620247
Provider Enumeration Date 2006-05-25
Last Updated Date 2020-01-02

Provider Mailing Address Detail

Address 9580 N Us Highway 301
City Wildwood
State Florida (FL)
Post Code 347858772
Phone Number 3526330703
Fax Number 3526332232

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 11004142
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Shannon Grow

What is the unique identifier code issued to Shannon Grow by the Centers for Medicare & Medicaid Services?

The Shannon Grow has been assigned the NPI (National Provider Identifier) 1689620247. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Shannon Grow is physically located?

The Shannon Grow is situated at the following address: 9580 N Us Highway 301, Wildwood, FL 347858772.

What is Shannon Grow's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Shannon Grow is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.

On what date did the Shannon Grow receive its 1689620247 assignment from the Centers for Medicare & Medicaid Services?

The Shannon Grow was assigned its 1689620247 by the Centers for Medicare & Medicaid Services on 2006-05-25.

When was the information regarding Shannon Grow most recently updated?

The details pertaining to the Shannon Grow, including its address, specialty, and other relevant information, were last refreshed on 2020-01-02.

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