MS. Shannon R Russom, N.P.

NPI #1013948850 in Williston, Vermont

Provider Information

NPI Number
1013948850
Entity Type
Individual
Name
MS. Shannon R Russom, N.P.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
N.P.
Enumeration Date
Jul 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
353 BLAIR PARK RD
State
Vermont
ZIP Code
05495-7530
Phone
(802) 847-1600

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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