Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON M RUSSELL
Active Sole ProprietorSHANNON M RUSSELL is a Registered Nurse healthcare provider located in WHITEFIELD, Maine. NPI 1770138406 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · WHITEFIELD, ME
Registration Details
- NPI Number
- 1770138406
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2019 (7.0331715750669 yrs)
- Last Updated
- Aug 8, 2019
- License
-
RN52456 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
345 VIGUE RDWHITEFIELD, ME, 043533013Browse ME providers · Browse ZIP 04353
- Phone
- 2072152092
- Primary Specialty
-
Registered Nurse
163W00000X
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.