Worden, Shannon Lynn

Worden, Shannon Lynn is an individual health care provider with primary practice located at 35 Empire State Blvd , Castleton NY 12033-9777. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Worden, Shannon Lynn can be contacted via phone (518) 477-2167.

Contact Information

Primary practice address
35 Empire State Blvd Castleton NY 12033-9777
Phone: (518) 477-2167
Fax: (518) 477-5182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 343102 New York

Profile Details

NPI number 1790261543
LBN Legal business name Worden, Shannon Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2018
Last updated Feb 21st, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790261543 NPPES
New York MEDICAID 05416091

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