Heather Marian Shannon in Fulton - Women's Health
Heather Marian Shannon - NPI 1790775005
Heather Marian Shannon is a Women's Health in Fulton, New York. Heather Marian Shannon practices all healthcare services and medical treatments related to Women's Health. The NPI Number for Heather Marian Shannon is 1790775005. The last update date is 2021-11-23.
Heather Marian Shannon's current location address is 522 S 4th St Ste 500, Fulton, New York. You can contact this provider via phone number 3155984740 and fax number 3155984728. The mailing address for Heather Marian Shannon is 522 S 4th St Ste 500, Fulton, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather Marian Shannon |
|---|---|
| Address | 522 S 4th St Ste 500, Fulton, New York |
| Phone Number | 3155984740 |
| Fax Number | 3155984728 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1790775005 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2021-11-23 |
Provider Mailing Address Detail
| Address | 522 S 4th St Ste 500 |
|---|---|
| City | Fulton |
| State | New York (NY) |
| Post Code | 13069 |
| Phone Number | 3155984740 |
| Fax Number | 3155984728 |
Provider's Primary Taxonomy Detail
| Speciality | Women's Health |
|---|---|
| Taxonomy | 363Lw0102X |
| Licence No | 420826 |
|
Definition: An advanced practice registered nurse expert in specialized healthcare for women with a focus on reproductive health. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2381762 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Heather Marian Shannon by the Centers for Medicare & Medicaid Services?
The Heather Marian Shannon has been issued the NPI (National Provider Identifier) 1790775005, which 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 Heather Marian Shannon's facilities are geographically located?
The facilities of Heather Marian Shannon are physically situated at the following location: 522 S 4Th St Ste 500, Fulton, NY, 13069.
What is the Heather Marian Shannon's area of specialization and corresponding taxonomy classification?
The Heather Marian Shannon's specialty field is Women's Health, and it falls under the taxonomy code 363Lw0102X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1790775005 to Heather Marian Shannon?
The Heather Marian Shannon received its 1790775005 assignment from the Centers for Medicare & Medicaid Services on 2005-10-27.
When was the Heather Marian Shannon's information last updated?
The Heather Marian Shannon's information was last updated on 2021-11-23.