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NPI 1205316775 · live from the CMS NPI Registry

Shannon A Edwards, ARNP

Nurse Practitioner, Neonatal, Critical Care in Iowa City, IA. National Provider Identifier 1205316775, active.

NPI record

NPI1205316775 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Neonatal, Critical Care 363LN0005X
Practice location200 Hawkins Dr, Iowa City, IA 52242
Practice phone319-356-7096
EnumeratedAugust 15, 2018
Last updatedAugust 15, 2018
Sole proprietorNo
Other namesShannon Ault

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics363LP0200XK117072 (IA)
Nurse Practitioner, Neonatal, Critical Care primary363LN0005XK117072 (IA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.