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NPI Code Detail

MEDICARE: SHANNON ROSE SCHLOEGEL FNP-C

MEDICARE: SHANNON ROSE SCHLOEGEL FNP-C
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
1363LF0000XFamily Nurse Practitioner2015009438MO

General Provider Information

NPI Number : 1821483249
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON ROSE SCHLOEGEL FNP-C
Provider Business Mailing Address
First Line : 330 NE BARRY RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-2724
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 330 NE BARRY RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-2724
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2015
Last Update Date : 04/02/2015

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