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

SHANNON CREEDON, CPNP

Active Sole Proprietor

SHANNON CREEDON, CPNP is a Pediatric Nurse Practitioner healthcare provider located in PORT CHARLOTTE, Florida. NPI 1548639487 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · PORT CHARLOTTE, FL

Registration Details

NPI Number
1548639487
Provider Type
Individual
Gender
Female
NPI Issued
Sep 22, 2015 (10.85127245 yrs)
Last Updated
Jul 30, 2021
Licenses
686564 (NY)
APRN11014376 (FL)
Sole Proprietor
Yes

Practice Information

Address
3488 DEPEW AVE
PORT CHARLOTTE, FL, 339527015
Browse FL providers · Browse ZIP 33952
Phone
9417647923
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in PORT CHARLOTTE, FL

Name Credential NPI
MRS. DENISE MUELLER-BARKER ARNP 1538132105
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.