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Shannon Profanchik

NPI 1376918862 · on the registry since 2015 · sole proprietor

Practice

Address: 546 E Sandy Lake Rd
Coppell, TX 75019
Phone: (972) 393-8067
Organisation at this address: Slarod
Nahar Medical Pllc
Robert Chen Md Pllc
Jason Marchetti Md Pa
Sandy Lake Chiropractic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 29

Registry record

Primary taxonomy: Family Nurse Practitioner
363LF0000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-12-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas