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

SHANNON BENNETT-GUNDERSON

Active Sole Proprietor

SHANNON BENNETT-GUNDERSON is a Family Nurse Practitioner healthcare provider located in SAN DIEGO, California. NPI 1073054334 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SAN DIEGO, CA

Registration Details

NPI Number
1073054334
Provider Type
Individual
Gender
Female
NPI Issued
Mar 19, 2017 (9.3868932849456 yrs)
Last Updated
May 10, 2019
Licenses
536000 (CA)
95005012 (CA)
Sole Proprietor
Yes

Practice Information

Address
5717 PACIFIC CENTER BLVD STE 200
SAN DIEGO, CA, 921214250
Browse CA providers · Browse ZIP 92121
Phone
8588591188
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in SAN DIEGO, CA

Name Credential NPI
CHRISTINE S CLAYTON C.N.P. 1861497810
DR. TOMAS C. WALKER DNP, APRN, BC-ADM 1891791802
JENNIFER ELIZABETH TONGE-MARTIN APRN,BC 1649276288
MS. CHRISTINE ANN SULLIVAN CNM, FNP, PHD, MSN 1265424121
SUSAN ROBERTA TUSSEY FNP 1053307504
CATHY ANN BAUGHMAN-GROSS FNP 1710973953
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.