Shannon Van Hare, is a
Licensed Practical Nurse based in Colon, Michigan. Shannon Van Hare is licensed to practice in Michigan (license number 4703117092) and her current practice location is
33618 Howard Dr, Colon, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 257-3087.
NPI number for Shannon Van Hare is 1437865433 and her current mailing address is 33618 Howard Dr, Colon, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437865433.
Provider's Profile
Full Name | Shannon Van Hare |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 33618 Howard Dr, Colon, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437865433
- Provider Enumeration Date: 01/24/2023
- Last Update Date: 01/24/2023
Medical Identifiers
Medical identifiers for Shannon Van Hare such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437865433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703117092 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Van Hare is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Van Hare, 33618 Howard Dr, Colon, MI 49040-9269 Ph: () - | Shannon Van Hare, 33618 Howard Dr, Colon, MI 49040-9269 Ph: (269) 257-3087 |
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