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Shannon Wozniak, NP
Psychiatric/Mental Health Nurse Practitioner in Sausalito, California
NPI 1609807049

Shannon Wozniak is a Psychiatric/Mental Health Nurse Practitioner based in Tiburon, CA and is specialized in Psychiatric/Mental Health. Shannon Wozniak practices in Sausalito, CA and has the professional credentials of NP. The NPI Number for Shannon Wozniak is 1609807049 and holds a License No. 95001853 (California).

The current practice location address for Shannon Wozniak is 630 Drake Ave, Sausalito, CA and can be reached out via phone at 415-339-8813.

Location: 630 Drake Ave, Sausalito, CA, 94920-1432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609807049
Provider Name
Shannon Wozniak
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
630 Drake Ave, Sausalito, CA, 94920-1432
Phone Number
415-339-8813
Fax Number
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2515200 05 OH
institution
Provider Business Practice Location Address Details
Address
630 Drake Ave
City
Sausalito
State
California
Zip
94965-1107
Phone Number
415-339-8813
Fax Number
person
Provider Business Mailing Address Details
Address
630 Drake Ave
City
Sausalito
State
California
Zip
94965-1107
Phone Number
415-339-8813
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95001853 (California)
Definition
Definition to come...
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