Individual
SHANNON L MCCRORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1149 LINCOLN AVE, LOCKPORT, NY 14094-6152
(716) 433-2674
(716) 433-2677
Mailing address
1149 LINCOLN AVE, LOCKPORT, NY 14094-6152
(716) 433-2674
(716) 433-2677
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381841-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005301420001
BLUE CROSS BLUE SHIELD
NY
Enumeration date
04/10/2008
Last updated
02/12/2024
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