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
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 312878 (NY) |
| Registered Nurse | 163W00000X | 750672 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Wantagh
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.