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Mrs. Shannon D Marzullo, ANP
Adult Health Nurse Practitioner in Buffalo, New York
NPI 1215250279

Shannon D Marzullo is an Adult Health Nurse Practitioner based in Depew, NY and is specialized in Adult Health. Shannon D Marzullo practices in Buffalo, NY and has the professional credentials of ANP. The NPI Number for Shannon D Marzullo is 1215250279 and holds a License No. F305322-1 (New York).

The current practice location address for Shannon D Marzullo is 50 Lakefront Blvd, Buffalo, NY and can be reached out via phone at 716-849-8750 and via fax at 716-849-8757.

Location: 50 Lakefront Blvd, Buffalo, NY, 14043-2400
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Provider Profile Details
NPI Number
1215250279
Provider Name
Shannon D Marzullo
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
50 Lakefront Blvd, Buffalo, NY, 14043-2400
Phone Number
716-849-8750
Fax Number
716-849-8757
Provider Enumeration Date
03/04/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03600295 05 NY
institution
Provider Business Practice Location Address Details
Address
50 Lakefront Blvd
City
State
Zip
14202-4345
Phone Number
716-849-8750
Fax Number
716-849-8757
person
Provider Business Mailing Address Details
Address
50 Lakefront Blvd
City
State
Zip
14202-4345
Phone Number
716-849-8750
Fax Number
716-849-8757
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F305322-1 (New York)
Definition
Definition to come...
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