Shannon Petersen

NPI # 

Practice Address:

7983 Nw 35Th Ct

Coral Springs, FL, 33065-3015

Practice Phone:

954-630-6879

License Number:

234500

License State:

FL

Taxonomy Grouping:

Other Service Providers

Taxonomy Classification:

Case Manager/Care Coordinator

Taxonomy Code:

171M00000X

Updated by NPPES on 9/1/2016. You can view the original data set for NPI # 1376099077 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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