MEDICARE: SHANNON DAWN EDMOND ARNP

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	363L00000X	Nurse Practitioner	103775	IA
2	363LN0000X	Neonatal Nurse Practitioner	K103775	IA

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	:	1831152834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON DAWN EDMOND ARNP

Provider Business Mailing Address
First Line	:	4480 UTICA RIDGE RD STE 1120
Second Line	:
City	:	BETTENDORF
State	:	IA
Zip	:	52722-1644
Country	:	US
Telephone Number	:	563-742-5750
Fax Number	:	563-742-5755

Provider Business Practice Location Address
First Line	:	4480 UTICA RIDGE RD
Second Line	:
City	:	BETTENDORF
State	:	IA
Zip	:	52722-1656
Country	:	US
Telephone Number	:	563-742-5750
Fax Number	:	563-742-4656

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	02/13/2024

Similar Medicare Providers

1326043514 — NAVEEN R KANATHUR MD
Practice Location Address:

4480 UTICA RIDGE RD , SUITE 108
BETTENDORF, IA
52722-1656

Practice Phone: 563-742-5250
Practice Fax: 563-742-5255

1184629107 — DENISE M DEFALCO-MCGEEIN APN
Practice Location Address:

4480 UTICA RIDGE RD , STE 1140
BETTENDORF, IA
52722-1656

Practice Phone: 563-742-5700
Practice Fax: 563-742-5705

1316932429 — DR. MAURICE DEAN HUFFMAN M.D.
Practice Location Address:

4480 UTICA RIDGE RD , SUITE 110
BETTENDORF, IA
52722-1656

Practice Phone: 563-742-5100
Practice Fax:

1104899095 — DR. JASON J DEUTMEYER MD
Practice Location Address:

4480 UTICA RIDGE RD , SUITE 1124
BETTENDORF, IA
52722-1656

Practice Phone: 563-742-5300
Practice Fax: 563-742-5305

1720102320 — DR. ANDRIA LEE BARR DO
Practice Location Address:

4480 UTICA RIDGE RD , STE. 1140
BETTENDORF, IA
52722-1656

Practice Phone: 563-742-5700
Practice Fax: 563-742-5705

1831311851 — FALGUNI N. MEHTA M.D.
Practice Location Address:

4480 UTICA RIDGE RD , SUITE 2236
BETTENDORF, IA
52722-1656

Practice Phone: 563-742-5850
Practice Fax: 563-742-5855

Directions to “ SHANNON DAWN EDMOND ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.