NPI Profile for SHANNON M FLEWELLING in PRESQUE ISLE, ME.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Hospice and Palliative Medicine |
207RH0002X | 11 | Physician/Internal Medicine |
| NPI # | 1306565106 |
|
| Status | Active | |
| Credentials | AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 08/24/2022 | |
| Last updated | 09/22/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHANNON M FLEWELLING
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