NPI 1205202074 SHANNON VANZUMMEREN APN ROCK ISLAND IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Shannon Vanzummeren - NPI: 1205202074

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: SHANNON VANZUMMEREN
NPI Number: 1205202074
Entity Type Code: Individual (1)
Gender: F
Credentials: APN
License Number: 209.013114
Business Practice Address: 855 Illini Dr
Suite 304 Silvis, IL - 612822907
Business Phone Number: 3092812120
Business Fax Number: 3092812129
Mailing Address: Po Box 4028,
ROCK ISLAND
State: IL
Postal Code: 612044028
Phone Number: 5633559200
Fax Number: 5633553419
NPI Enumeration Date: 08/17/2015
NPI Last Update Date: 05/05/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: 209.013114
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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