NPI 1134210420 · live from the CMS NPI Registry
Shannon J. Antunes, APN
Nurse Practitioner in Wilmington, DE. National Provider Identifier 1134210420, active.
NPI record
| NPI | 1134210420 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | A.I. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803 |
| Practice phone | 302-651-4000 |
| Mailing address | Nemours Childrens Clinic, P.O. Box 404112, Atlanta, GA 30384 |
| Enumerated | September 28, 2006 |
| Last updated | May 7, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | L10027274 (DE) |
| Nurse Practitioner, Pediatrics | 363LP0200X | L10027274 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.