Andrea Shannon R.N.

NPI 1770718702 - Registered Nurse - 163WH0200X

NPI Details
NPI 1770718702
Gender Female
Enumeration Date 05/19/2009
Last Updated 05/19/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
23 HORTON ST
WEST ISLIP NY, 11795-1039, US
Phone (631) 242-2247
Fax (631) 242-2247
Business Location
23 HORTON ST
WEST ISLIP NY, 11795-1039, US
Phone (631) 242-2247
Fax (631) 242-2247
Toxanomy
Taxonomy Code 163WH0200X
License State New York
License Number 605762-1
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According to our database, Mrs. Andrea Shannon R.N. NPI is 1770718702, taxonomy code is 163WH0200X and license number is 605762-1, license state is located at New York. Andrea Shannon R.N. physically located at 23 Horton St, West Islip NY, 11795-1039. NPI Number Andrea Shannon R.N. has the Individual type.

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1770718702 NPI number is provided on an as is basis without warranty of any kind. 1770718702 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Shannon R.N. are for informational purposes only.