Shannon, Tracey Leah
Shannon, Tracey Leah is an individual health care provider with primary practice located at 19 Bradhurst Ave Ste 3850S , Hawthorne NY 10532. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Shannon, Tracey Leah can be contacted via phone (914) 909-6900.Contact Information
Primary practice address
19 Bradhurst Ave Ste 3850S
Hawthorne NY 10532
Phone: (914) 909-6900
Fax: (914) 493-2828
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 305147 | New York |
Profile Details
NPI number | 1457580839 |
---|---|
LBN Legal business name | Shannon, Tracey Leah |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2009 |
Last updated | Nov 23rd, 2021 - about 4 years 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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