Individual
DANIELLE TERESA SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 PONDFIELD RD, BRONXVILLE, NY 10708-3706
(914) 787-1000
Mailing address
15 MAJOR APPLEBY RD, ARDSLEY, NY 10502-1615
(914) 648-8072
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
347072
NY
Other
Enumeration date
05/27/2021
Last updated
09/19/2022
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