Individual provider · Type 1 NPI
Shannon Kasper, DNP
Gerontology Nurse Practitioner · Rochester, NY
NPI number
1457712101
Active
Practice location
1425 Portland Ave
Rochester, NY 14621-3011
Fax (585) 336-5113
Mailing address
4993 Tim Tam Trl
Blasdell, NY 14219-2633
Other practice locations
- 30 Hagen Dr Ste 120, Rochester, NY 14625-2658 · (585) 922-5300
- 1445 Portland Ave Ste 108, Rochester, NY 14621-3008 · (585) 922-5550
- 515 Abbott Rd, Buffalo, NY 14220-1700 · (716) 828-3123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 307673 (NY) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 307673 (NY) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1457712101
Shannon Kasper, DNP's National Provider Identifier is 1457712101, issued on Mar 9, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Rochester, NY. The record was last updated on Dec 4, 2019.