Individual provider · Type 1 NPI

Shannon Benesh, NP-C

Adult Health Nurse Practitioner · New York, NY

NPI number 1881239192 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Mailing address

630 W 168th St # 4
New York, NY 10032-3725

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XF309255 (NY)
Adult Health Nurse Practitioner Primary 363LA2200XF309255 (NY)
Registered Nurse 163W00000X716550 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1881239192

Shannon Benesh, NP-C's National Provider Identifier is 1881239192, issued on Nov 11, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on May 11, 2020.