Shannon McDermott, NP-C
Nurse Practitioner, Family in Liverpool, NY. Individual provider (NPI-1).
NPI number1316616865
StatusActive
Last updated in NPPESSep 8, 2021
Details
- NPI
- 1316616865
- Entity type
- Individual (NPI-1)
- Name
- Shannon McDermott
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2021
- Certification date
- Sep 8, 2021
- Last updated
- Sep 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F348156 | NY | Yes |
Practice location
5100 W Taft RdLiverpool, NY 13088-3807
Phone 315-452-2828
Mailing address
8813 Madeleine DrBaldwinsville, NY 13027-8917
Phone 315-247-4498
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