Mary M Shannon is a Family in Kittanning, Pennsylvania. Mary M Shannon practices all healthcare services and medical treatments related to Family. The NPI Number for Mary M Shannon is 1104816073. The last update date is 2007-07-16.
Mary M Shannon's current location address is 1 Nolte Dr, Kittanning, Pennsylvania. You can contact this provider via phone number 7245438536 and fax number 7245438743. The mailing address for Mary M Shannon is 1 Nolte Dr, Kittanning, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary M Shannon |
|---|---|
| Address | 1 Nolte Dr, Kittanning, Pennsylvania |
| Phone Number | 7245438536 |
| Fax Number | 7245438743 |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1104816073 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 1 Nolte Dr |
|---|---|
| City | Kittanning |
| State | Pennsylvania (PA) |
| Post Code | 162017111 |
| Phone Number | 7245438536 |
| Fax Number | 7245438743 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | SP007840 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique identification code assigned to Mary M Shannon by the Centers for Medicare & Medicaid Services?
The Mary M Shannon has been issued the NPI (National Provider Identifier) 1104816073. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mary M Shannon's facilities are geographically located?
The facilities of Mary M Shannon are physically situated at the following location: 1 Nolte Dr, Kittanning, PA, 162017111.
What is Mary M Shannon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary M Shannon's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104816073 to Mary M Shannon?
The Centers for Medicare & Medicaid Services assigned the 1104816073 to Mary M Shannon on 2005-10-24.
As of what date was the information regarding Mary M Shannon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary M Shannon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-16.