MEDICARE: MRS. SHAWNA NICOLE MUNSON PLMHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	7770	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841203684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHAWNA NICOLE MUNSON PLMHP

Provider Business Mailing Address
First Line	:	221 W 2ND ST
Second Line	:	SUITE 105
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-3905
Country	:	US
Telephone Number	:	308-534-3351
Fax Number	:	308-696-3801

Provider Business Practice Location Address
First Line	:	221 W 2ND ST
Second Line	:	SUITE 105
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-3905
Country	:	US
Telephone Number	:	308-534-3351
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	07/08/2007

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