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Shannon Faeth
Psychiatric/Mental Health Registered Nurse in Rock Island, Illinois
NPI 1275029175

Shannon Faeth is a Psychiatric/Mental Health Registered Nurse based in Rock Island, IL and is specialized in Psychiatric/Mental Health. Shannon Faeth practices in Rock Island, IL. The NPI Number for Shannon Faeth is 1275029175 and holds a License No. 041465792 (Illinois).

The current practice location address for Shannon Faeth is 2701 17Th St, Rock Island, IL and can be reached out via phone at 309-779-2031.

Location: 2701 17Th St, Rock Island, IL, 61201-5351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275029175
Provider Name
Shannon Faeth
Credential
Provider Entity Type
Individual
Gender
Female
Address
2701 17Th St, Rock Island, IL, 61201-5351
Phone Number
309-779-2031
Fax Number
Provider Enumeration Date
07/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2701 17Th St
City
Rock Island
State
Illinois
Zip
61201-5351
Phone Number
309-779-2031
Fax Number
person
Provider Business Mailing Address Details
Address
2701 17Th St
City
Rock Island
State
Illinois
Zip
61201-5351
Phone Number
309-779-2031
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
041465792 (Illinois)
Definition
Definition to come...
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