person
Tracey Leah Shannon, NP
Adult Health Nurse Practitioner in Hawthorne, New York
NPI 1457580839

Tracey Leah Shannon is an Adult Health Nurse Practitioner based in Hawthorne, NY and is specialized in Adult Health. Tracey Leah Shannon practices in Hawthorne, NY and has the professional credentials of NP. The NPI Number for Tracey Leah Shannon is 1457580839 and holds a License No. 305147 (New York).

The current practice location address for Tracey Leah Shannon is 19 Bradhurst Ave Ste 3850S, Hawthorne, NY and can be reached out via phone at 914-909-6900 and via fax at 914-493-2828.

Location: 19 Bradhurst Ave Ste 3850S, Hawthorne, NY, 10532-2140
person
Provider Profile Details
NPI Number
1457580839
Provider Name
Tracey Leah Shannon
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
19 Bradhurst Ave Ste 3850S, Hawthorne, NY, 10532-2140
Phone Number
914-909-6900
Fax Number
914-493-2828
Provider Enumeration Date
07/07/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19 Bradhurst Ave Ste 3850S
City
State
Zip
10532
Phone Number
914-909-6900
Fax Number
914-493-2828
person
Provider Business Mailing Address Details
Address
19 Bradhurst Ave Ste 3850S
City
State
Zip
10532
Phone Number
914-909-6900
Fax Number
914-493-2828
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
305147 (New York)
Definition
Definition to come...
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