Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon R Wiant

Individual provider Specialist · NPI 1679716120

Shannon R Wiant is a Specialist in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009

Practice location Address checks out

5430 W Glenn Dr
Glendale, AZ 85301-2628
Phone: (623) 238-9763
Fax: (623) 937-5425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 4340 (AZ)

Record details

NPI number1679716120
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2009
Last updated in NPPESApril 14, 2009

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