Shannon Lynn Bartlett
Specialist in Plattsburgh, NY. Individual provider (NPI-1).
NPI number1093064487
StatusActive
Last updated in NPPESAug 31, 2012
Details
- NPI
- 1093064487
- Entity type
- Individual (NPI-1)
- Name
- Shannon Lynn Bartlett
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2012
- Last updated
- Aug 31, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | NY | Yes |
Practice location
22 New York RdPlattsburgh, NY 12903-3981
Phone 518-561-3803
Mailing address
32 Maine RdPlattsburgh, NY 12903-4009
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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