Provider Demographics
NPI:1104393347
Name:KROP, SHANNON R (FNP-BC, NP-C)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:R
Last Name:KROP
Suffix:
Gender:
Credentials:FNP-BC, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 771982
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-1982
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:700 NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66101-2111
Practice Address - Country:US
Practice Address - Phone:931-951-8731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4024778363LF0000X
IL277.003675363LF0000X
AK139813363LF0000X
IN71015800A363LF0000X
OK219709363LF0000X
KS53-83438-032363LF0000X
TN36824363LF0000X
IAA181005363LF0000X
COC-APN.0102641-C-NP363LF0000X
AR230389363LF0000X
TX1070309363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily