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General NPI Number Information
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NPI Number | 1174923585
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Entity Type | Individual
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Provider Name | SHANNON MEYERS APRN, DNP
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Gender | Female
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Dates
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Enumeration Date | 09/04/2014
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 795 EXECUTIVE DR
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City | OVIEDO
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State | FL
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Zip | 32765-7699
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Country | US
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Telephone | 407-337-2587
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Fax |
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Provider Business Mailing Address
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Address Line | 795 EXECUTIVE DR
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City | OVIEDO
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State | FL
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Zip | 32765-7699
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Country | US
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Telephone | 407-337-2587
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5973
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP8330
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9319436
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AC003626
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5973
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License Number State | MN
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP11104
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License Number State | AZ
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61163544
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License Number State | WA
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP9319436
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License Number State | FL
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