Shannon Petersen
Case Manager/Care Coordinator in Coral Springs, FL(View on Map)
Full Name
Shannon Petersen
NPI Number
1376099077
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/01/2016
Specialties
(Taxonomies)Licenses
State
Florida
License Number
234500
Contact
Information
Purpose
Mailing
Location
Address
7983 NW 35TH CT
7983 NW 35TH CT
City
Coral Springs
Coral Springs
State
FL
FL
Postal Code
33065-3015
33065-3015
Country
US
US
Telephone Number
(954) 630-6879
(954) 630-6879
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/01/2016
Provider Address
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