SHANNON WALDON CST NPI 1336555051

NPI Information

NPI: 1336555051
Provider Name: SHANNON WALDON, CST
Classification: - 246ZS0400X
Entity Type: Individual
Address:
510 LINCOLN DR
HERRIN, IL
ZIP 62948
Phone: (618) 997-6800
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Shannon Waldon, CST is a healthcare provider in Herrin, IL. Shannon Waldon, CST NPI is 1336555051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

510 LINCOLN DR
HERRIN, IL
ZIP 62948-334
Phone: (618) 997-6800
Fax: (618) 997-1187

The enumeration date for this NPI number is 7/2/2014 and was last updated on 7/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZS0400X			4393	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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