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Search › Vermont › 363LF0000X

Shannon Russom, N.P

NPI 1013948850 · on the registry since 2006

Practice

Address
353 Blair Park Rd
Williston, VT 05495
Phone
(802) 847-1600
Fax
(802) 847-7184
Organisation at this address
Fletcher Allen Health Care,Inc
Fletcher Allen Health Care-Blair Park
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
VT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Vermont