Individual
SHANNA MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
326 ORCHARD PARK RD, WEST SENECA, NY 14224-2635
(716) 828-1719
(716) 828-9275
Mailing address
227 THORN AVENUE PO BOX 631, ORCHARD PARK, NY 14127
(716) 662-2040
(716) 662-0019
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
265583
NY
Other
Enumeration date
07/05/2006
Last updated
04/01/2009
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