Individual provider · Type 1 NPI

Catherine Mary Shannon, FNP

Family Nurse Practitioner · Smithtown, NY

NPI number 1366507329 Active

Practice location

50 Route 25A
Smithtown, NY 11787-1348

Fax (631) 862-3717

Mailing address

65 Island Pkwy
Island Park, NY 11558-1403

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF 332622 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1366507329

Catherine Mary Shannon, FNP's National Provider Identifier is 1366507329, issued on Dec 27, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Smithtown, NY. The record was last updated on Jul 8, 2007.