Shannon L Decker
NPI #1003469925 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1003469925
- Entity Type
- Individual
- Name
- Shannon L Decker
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jul 19, 2019
- Last Updated
- Mar 14, 2024
Practice Location
- Address
- 11108 PARKVIEW CIRCLE DR
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46845-1730
- Phone
- (260) 266-5700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner |
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