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SHANNON MICHELLE GUCKIEN FNP-BC
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1538828082
Individual Registrant: SHANNON MICHELLE GUCKIEN FNP-BC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
530 N MICHIGAN ST ARGOS, IN 46501-1100 US
Tel: 574-892-5131 Fax: --
Tel: 574-892-5131 Fax: --
Contact information for business:
530 N MICHIGAN ST ARGOS, IN 46501-1100 US
Tel: 574-892-5131 Fax: --
Tel: 574-892-5131 Fax: --
Registration Information:
NPI: 1538828082
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | IN | 71011872A |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
