Individual provider · Type 1 NPI
Shannon Mary Kehoe, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Waverly Township, PA
NPI number
1295612398
Active
Practice location
107 Summerrules Rd
Waverly Township, PA 18411-1095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP033640 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1295612398
Shannon Mary Kehoe, PMHNP-BC's National Provider Identifier is 1295612398, issued on Aug 19, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waverly Township, PA. The record was last updated on Aug 19, 2025.