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Shannon M Wagenman, FNP-BC
Family Nurse Practitioner in Hardin, Montana
NPI 1013347665

Shannon M Wagenman is a Family Nurse Practitioner based in Hardin, MT and is specialized in Family. Shannon M Wagenman practices in Hardin, MT and has the professional credentials of FNP-BC. The NPI Number for Shannon M Wagenman is 1013347665 and holds a License No. 100410 (Montana).

The current practice location address for Shannon M Wagenman is 17 N Miles Ave, Hardin, MT and can be reached out via phone at 406-665-2310.

Location: 17 N Miles Ave, Hardin, MT, 59034-2323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013347665
Provider Name
Shannon M Wagenman
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
17 N Miles Ave, Hardin, MT, 59034-2323
Phone Number
406-665-2310
Fax Number
Provider Enumeration Date
11/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17 N Miles Ave
City
Hardin
State
Montana
Zip
59034-2323
Phone Number
406-665-2310
Fax Number
person
Provider Business Mailing Address Details
Address
17 N Miles Ave
City
Hardin
State
Montana
Zip
59034-2323
Phone Number
406-665-2310
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
100410 (Montana)
Definition
Definition to come...
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