Individual provider · Type 1 NPI

Tracey Leah Shannon, N.P.

Adult Health Nurse Practitioner · Hawthorne, NY

NPI number 1457580839 Active

Practice location

19 Bradhurst Ave Ste 3850S
Hawthorne, NY 10532

Fax (914) 493-2828

Mailing address

19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140

Other practice locations

  • 520 E 70th St, Starr 425, New York, NY 10021-9800 · (212) 746-4857

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X305147 (NY)

Adult Health Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1457580839

Tracey Leah Shannon, N.P.'s National Provider Identifier is 1457580839, issued on Jul 7, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hawthorne, NY. The record was last updated on Nov 23, 2021.