O'Meara, Shannon Lauren

O'Meara, Shannon Lauren is an individual health care provider with primary practice located at 6 Wellness Way Ste 114 , Latham NY 12110-2156. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. O'Meara, Shannon Lauren can be contacted via phone (518) 785-5881.

Contact Information

Primary practice address
6 Wellness Way Ste 114 Latham NY 12110-2156
Phone: (518) 785-5881
Fax: (518) 785-3872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 336401 New York

Profile Details

NPI number 1386959716
LBN Legal business name O'Meara, Shannon Lauren
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2010
Last updated Feb 19th, 2024 - about 7 months ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1386959716 NPPES
New York MEDICAID 1386959716

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