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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. SHANNON R RUSSOM, N.P.

Active

MS. SHANNON R RUSSOM, N.P. is a Family Nurse Practitioner healthcare provider located in WILLISTON, Vermont. NPI 1013948850 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · WILLISTON, VT

Registration Details

NPI Number
1013948850
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2006 (20.067782381134 yrs)
Last Updated
Jul 8, 2007
License
1010017858 (VT)

Practice Information

Address
353 BLAIR PARK RD
WILLISTON, VT, 054957530
Browse VT providers · Browse ZIP 05495
Phone
8028471600
Fax
8028477184
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in WILLISTON, VT

Name Credential NPI
RACHEL ANN PUTNAM CNP 1922332071
MS. JENA S KATZMAN APRN, FNP 1215254289
TARA BLUE MEYER APRN 1417277500
MS. CALLAN JANOWIEC FNP 1245588896
MEI-LANI BIXBY 1457692691
JAIME R. CALLAGHAN DNP, FNP-BC 1982029542
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.