Individual provider · Type 1 NPI

Shannon Marlene Denisoff, AGPCNP-BC

Adult Health Nurse Practitioner · Queensbury, NY

NPI number 1629787916 Active

Practice location

161 Carey Rd
Queensbury, NY 12804-7821

Fax (518) 824-2390

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X311144 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1629787916

Shannon Marlene Denisoff, AGPCNP-BC's National Provider Identifier is 1629787916, issued on Nov 16, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Queensbury, NY. The record was last updated on Oct 7, 2026.