MS. SHANNON RUSSOM, N.P.

Nurse Practitioner - Family

Active Individual
NPI: 1013948850

Practice Address

353 BLAIR PARK RD
Williston, VT 05495

Phone: (802) 847-1600

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 1010017858 (VT)

Frequently Asked Questions

NPI 1013948850 is the National Provider Identifier for MS. SHANNON RUSSOM, N.P., a Nurse Practitioner - Family provider located in Williston, VT. This NPI was enumerated on July 6, 2006.
MS. SHANNON RUSSOM, N.P. practices at 353 BLAIR PARK RD, Williston, VT 05495.

Quick Facts

NPI
1013948850
Type
Individual
Enumerated
Jul 6, 2006
Last Updated
Jul 8, 2007

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