Individual
SHAWN THOMAS WELLINGTON-NORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 WHITESBORO ST, UTICA, NY 13502-3015
(315) 724-5168
Mailing address
6322 KOLTON DR, ROME, NY 13440-7507
(315) 761-7046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
688717-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407937
NY
Other
Enumeration date
06/19/2025
Last updated
01/03/2026
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