Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON WALDON, CSA
Active Sole ProprietorSHANNON WALDON, CSA is a Medical Laboratory Technician healthcare provider located in HERRIN, Illinois. NPI 1336555051 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · HERRIN, IL
Registration Details
- NPI Number
- 1336555051
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2014 (12.090554609152 yrs)
- Last Updated
- Sep 9, 2014
- License
-
4393 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
510 LINCOLN DRHERRIN, IL, 629486334Browse IL providers · Browse ZIP 62948
- Phone
- 6189976800
- Fax
- 6189971187
- Primary Specialty
-
Medical Laboratory Technician
246ZS0410X
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.