Individual provider · Type 1 NPI

Shannon T. Williams

Adult Health Nurse Practitioner · Wantagh, NY

NPI number 1508782194 Active

Practice location

1493 Gaston St
Wantagh, NY 11793-3054

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X312878 (NY)
Registered Nurse 163W00000X750672 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1508782194

Shannon T. Williams's National Provider Identifier is 1508782194, issued on Jun 26, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Wantagh, NY. The record was last updated on Jun 26, 2026.