Shannon Marie Dennis, NP
Individual provider Active NPI Family Nurse Practitioner · Ishpeming, MI
NPI 1134601685 · NPPES record last updated Jul 27, 2022
Key facts
- NPI
- 1134601685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704299321 (MI)
- Practice address
- 901 Lakeshore Dr
Ishpeming, MI 49849-1367 - Phone
- (906) 225-3925
- Fax
- (906) 228-0169
- NPI assigned
- Aug 31, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704299321 | MI | MD | Family Nurse Practitioner |
Interoperability endpoints
- shannon.scott.1@8233.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704299321 | MI | Yes |
Addresses
Primary practice location
901 Lakeshore Dr
Ishpeming, MI 49849-1367
Mailing address
1414 W Fair Ave Ste 226
Marquette, MI 49855-5409
Phone (906) 449-1240
Other providers in Ishpeming, MI
- John Dee Claud Jr.
- Raymond Leonard Coleman
- Scott David Corkin
- Creative Compass and Collaborative Therapy
- Chris Danis
- Discreet Confidential Psychological Services, LLC
- Dix Corp
- Diane Lynn Dix
- Kimberly Ann Doppelt
- Pamela Dost
All providers in Ishpeming, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.