NPI 1174049209
Patricia Shannon
Practice location
- Address
- 151 N Main St, Decatur, IL 62523
- Phone
- (217) 362-6262
- Mailing address
- 151 N Main St, Decatur, IL 62523-1206
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1174049209
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Aug 2017
- Record last updated
- 21 Aug 2017
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.