Mrs. Shannon M Wood
Nurse Practitioner - Family Medicine
9209 Phoenix Village Pkwy
O Fallon
, Missouri 63368-4280
Mrs. Shannon M Wood
Nurse Practitioner - Family Medicine
9209 Phoenix Village Pkwy
O Fallon
, Missouri 63368-4280
(920) 684-1439
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Shannon M Wood
- 801 York St
- Manitowoc, WI
- Zip : 54220-4630
- Fax : (920) 684-1439
- Phone : (920) 663-9016
Second Address
- Mrs. Shannon M Wood
- 9209 Phoenix Village Pkwy
- O Fallon, MO
- Zip : 63368-4280
- Fax : (636) 561-4610
- Phone : (636) 561-4613
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 2015007598 | MO |
National Provider Identifier
| NPI | 1003293762 |
|---|---|
| Provider Name | Mrs. Shannon M Wood |
| First Address | Manitowoc, WI 54220-4630 |
| Second Address | O Fallon, MO 63368-4280 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2015 |
| Last Update Date | 25/01/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.