Individual
CHANG SHANNON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
106 W 96TH ST APT 3D, NEW YORK, NY 10025-6410
(201) 543-7749
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432225
NY
Other
Enumeration date
12/27/2021
Last updated
01/01/2022
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