Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANNON LOUISE LIS, CPNP
Active Sole ProprietorMRS. SHANNON LOUISE LIS, CPNP is a Pediatric Nurse healthcare provider located in CORONADO, California. NPI 1043726995 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse · CORONADO, CA
Registration Details
- NPI Number
- 1043726995
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 14, 2017 (8.6646715994043 yrs)
- Last Updated
- Dec 14, 2017
- License
-
487112 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
62 PORT OF SPAIN RDCORONADO, CA, 921183226Browse CA providers · Browse ZIP 92118
- Phone
- 6196280183
- Primary Specialty
-
Pediatric Nurse
163WP0200X
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.