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Shannon Profanchik
Family Nurse Practitioner in Coppell, Texas
NPI 1376918862

Shannon Profanchik is a Family Nurse Practitioner based in Coppell, TX and is specialized in Family. Shannon Profanchik practices in Coppell, TX. The NPI Number for Shannon Profanchik is 1376918862 and holds a License No. AP129425 (Texas).

The current practice location address for Shannon Profanchik is 546 E Sandy Lake Rd, Coppell, TX and can be reached out via phone at 972-393-8067.

Location: 546 E Sandy Lake Rd, Coppell, TX, 75019-5786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376918862
Provider Name
Shannon Profanchik
Credential
Provider Entity Type
Individual
Gender
Female
Address
546 E Sandy Lake Rd, Coppell, TX, 75019-5786
Phone Number
972-393-8067
Fax Number
Provider Enumeration Date
12/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
546 E Sandy Lake Rd
City
Coppell
State
Texas
Zip
75019-5786
Phone Number
972-393-8067
Fax Number
person
Provider Business Mailing Address Details
Address
546 E Sandy Lake Rd
City
Coppell
State
Texas
Zip
75019-5786
Phone Number
972-393-8067
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP129425 (Texas)
Definition
Definition to come...
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