person
Mr. Erastus Shannon, PMH-NP
Psychiatric/Mental Health Nurse Practitioner in Albany, New York
NPI 1710695762

Erastus Shannon is a Psychiatric/Mental Health Nurse Practitioner based in Albany, NY and is specialized in Psychiatric/Mental Health. Erastus Shannon practices in Albany, NY and has the professional credentials of PMH-NP. The NPI Number for Erastus Shannon is 1710695762 and holds a License No. 404594 (New York).

The current practice location address for Erastus Shannon is 418 Broadway Ste N, Albany, NY and can be reached out via phone at 516-200-6865.

Location: 418 Broadway Ste N, Albany, NY, 12207-2922
person
Provider Profile Details
NPI Number
1710695762
Provider Name
Erastus Shannon
Credential
PMH-NP
Provider Entity Type
Individual
Gender
Male
Address
418 Broadway Ste N, Albany, NY, 12207-2922
Phone Number
516-200-6865
Fax Number
Provider Enumeration Date
11/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
418 Broadway Ste N
City
State
Zip
12207-2922
Phone Number
516-200-6865
Fax Number
person
Provider Business Mailing Address Details
Address
418 Broadway Ste N
City
State
Zip
12207-2922
Phone Number
516-200-6865
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
404594 (New York)
Definition
Definition to come...
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