Denisoff, Shannon Marlene

Denisoff, Shannon Marlene is an individual health care provider with primary practice located at 713 Troy Schenectady Rd Ste 131 , Latham NY 12110-2490. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Denisoff, Shannon Marlene can be contacted via phone (518) 713-4434.

Contact Information

Primary practice address
713 Troy Schenectady Rd Ste 131 Latham NY 12110-2490
Phone: (518) 713-4434
Fax: (518) 713-4432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 745562 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 311144 New York

Profile Details

NPI number 1629787916
LBN Legal business name Denisoff, Shannon Marlene
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2022
Last updated Apr 30th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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