Individual
MRS. DANA L SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-0407
(585) 276-2446
Mailing address
601 ELMWOOD AVE, BOX 679T, ROCHESTER, NY 14642-0001
(585) 275-0407
(585) 276-2446
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
304277
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F304277-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03169422
—
NY
Enumeration date
08/23/2006
Last updated
07/05/2023
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