Individual
SHANNON MARIE MCDONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(612) 710-3527
Mailing address
27 BUCYRUS AVE, CARMEL, NY 10512-3804
(612) 710-3527
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
83915
NY
Other
Enumeration date
12/01/2009
Last updated
06/14/2024
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