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

SHANNA RUTH ELLIOTT, DO

Active

SHANNA RUTH ELLIOTT, DO is a Family Medicine healthcare provider located in WATERLOO, Iowa. NPI 1629458302 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WATERLOO, IA

Registration Details

NPI Number
1629458302
Provider Type
Individual
Gender
Female
NPI Issued
Jun 8, 2015 (11.167238278927 yrs)
Last Updated
Jun 8, 2015
License
R-10280 (IA)

Practice Information

Address
2055 KIMBALL AVE
SUITE 101
WATERLOO, IA, 50702
Browse IA providers · Browse ZIP 50702
Phone
3192722112
Fax
3192722107
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in WATERLOO, IA

Name Credential NPI
ELLEN LOUISE SAKORNBUT MD 1578567947
NICHOLAS J GOETSCH D.O. 1740287614
DR. PATRICIA C CONNELL M.D. 1073510715
DR. ROBERT L FRIEDMAN M.D. 1013915750
DR. JERRY ALAN NELSON MD 1831197607
MARK J LOUVIERE MD 1003816984
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.