NPI 1013347665

Shannon M Wagenman, FNPBC

Practitioner Family Nurse Practitioner Hardin, MT

Practice location

Address: 17 N Miles Ave, Hardin, MT 59034-2323
Phone: (406) 665-2310

Registered specialties (3)

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 100410 (MT)

Other Nurse Practitioner providers in Montana →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence NUR-RN-LIC-71603 (MT)

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 0990549 (CO)

Registry record

NPI: 1013347665
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Nov 2013
Record last updated: 3 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.