Individual provider · Type 1 NPI
Erastus Shannon, PMH-NP
Psychiatric/Mental Health Nurse Practitioner · Albany, NY
NPI number
1710695762
Active
Practice location
418 Broadway Ste N
Albany, NY 12207-2922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404594 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1710695762
Erastus Shannon, PMH-NP's National Provider Identifier is 1710695762, issued on Nov 8, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Albany, NY. The record was last updated on Nov 8, 2022.