NPI 1891626487

Shannon Nowelle Myers

Practitioner Mastectomy Fitter Osage Beach, MO

Practice location

Address: 4681 Osage Beach Pkwy, Osage Beach, MO 65065-2069
Phone: (573) 302-4909
Mailing address: PO Box 1265, Lake Ozark, MO 65049-1265

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X Licence C73524 (MO)

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Registry record

NPI: 1891626487
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2026
Record last updated: 25 May 2026

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.