Individual
MRS. SHANNON LEIGH BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, NP-C, CWOCN
Contact information
Practice address
20 PROSPECT AVE STE 410, HACKENSACK, NJ 07601-1941
(551) 996-4070
(551) 996-4072
Mailing address
10-05 BACKUS RD, FAIR LAWN, NJ 07410-1925
(201) 956-2110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00742100
NJ
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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