Dr SHANNON MARIE BAGNASCO is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.
ELIZABETH SUPPORTIVE MEDICAL SPECIALISTS, A MEDICAL CORPORATION
500 LA TERRAZA BLVD
SUITE 320
ESCONDIDO
CA
920253875
Tel: 8446681926
| Npi | 1235554510 |
| Pac Id | 9638301351 |
| Professional Enrollment Id | I20181112002595 |
| Last Name | BAGNASCO |
| First Name | SHANNON |
| Middle Name | MARIE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | ELIZABETH SUPPORTIVE MEDICAL SPECIALISTS, A MEDICAL CORPORATION |
| Group Practice Pac Id | 3971880055 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 500 LA TERRAZA BLVD |
| Line 2 Street Address | SUITE 320 |
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| City | ESCONDIDO |
| State | CA |
| Zip Code | 920253875 |
| Phone Number | 8446681926 |
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| Professional Accepts Medicare Assignment | Y |
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