Individual provider · Type 1 NPI
Shannon Church
Family Nurse Practitioner · Albany, NY
NPI number
1104364686
Active
Practice location
5 Palisades Drive Suite 200, St. Peter's Internal Medicine
Albany, NY 12205-6433
Fax (518) 438-0299
Mailing address
PO Box 14890, St. Peter's Health Partners Payer Credentialing
Albany, NY 12212-4890
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 611605 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | F341370-1 (NY) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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- Kelly Irwin Pagnotti, FNPFamily Nurse Practitioner Albany, NY NPI 1013359629
- Darcy A. Janowski, FNP-CFamily Nurse Practitioner Albany, NY NPI 1013909233
- Elizabeth PredmoreFamily Nurse Practitioner Albany, NY NPI 1023722311
- Hannah Danielle Caron, NPFamily Nurse Practitioner Albany, NY NPI 1023977683
- Annmarie Ceriello Gaetani, N.P.Family Nurse Practitioner Albany, NY NPI 1033144613
About NPI 1104364686
Shannon Church's National Provider Identifier is 1104364686, issued on Feb 6, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Albany, NY. The record was last updated on May 12, 2021.