Individual
SHANNON KATHLEEN SPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
742 JAMES ST, SYRACUSE, NY 13203-2017
(315) 703-2745
Mailing address
742 JAMES ST, SYRACUSE, NY 13203-2017
(315) 703-2745
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401707
NY
Other
Enumeration date
06/16/2014
Last updated
08/21/2019
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