Shannon M Wood, FNP-BC Valid NPI
Individual provider · Family Nurse Practitioner · O Fallon, MO
- NPI
- 1003293762
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 2015007598 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-05-01
- Last updated
- 2016-01-25
Practice location
9209 Phoenix Village Pkwy
O Fallon, MO 63368-4280
(636) 561-4613