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Shannon Moeggenborg, APRN,FNP-C
Family Nurse Practitioner in Traverse City, Michigan
NPI 1528467669

Shannon Moeggenborg is a Family Nurse Practitioner based in Traverse City, MI and is specialized in Family. Shannon Moeggenborg practices in Traverse City, MI and has the professional credentials of APRN,FNP-C. The NPI Number for Shannon Moeggenborg is 1528467669 and holds a License No. 4704265833 (Michigan).

The current practice location address for Shannon Moeggenborg is 1105 Sixth St, Traverse City, MI and can be reached out via phone at 231-947-0673 and via fax at 801-740-2847.

Location: 1105 Sixth St, Traverse City, MI, 49696-8440
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Provider Profile Details
NPI Number
1528467669
Provider Name
Shannon Moeggenborg
Credential
APRN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1105 Sixth St, Traverse City, MI, 49696-8440
Phone Number
231-947-0673
Fax Number
801-740-2847
Provider Enumeration Date
08/14/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0B86032 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
1105 Sixth St
City
State
Zip
49684-2349
Phone Number
231-947-0673
Fax Number
801-740-2847
person
Provider Business Mailing Address Details
Address
1105 Sixth St
City
State
Zip
49684-2349
Phone Number
231-947-0673
Fax Number
801-740-2847
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704265833 (Michigan)
Definition
Definition to come...
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