Shannon R Dingle, N.P.
Nurse Practitioner, Psych/Mental Health in New York, NY. Individual provider (NPI-1).
NPI number1982157137
StatusActive
Last updated in NPPESSep 25, 2024
Details
- NPI
- 1982157137
- Entity type
- Individual (NPI-1)
- Name
- Shannon R Dingle
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2016
- Certification date
- Aug 20, 2024
- Last updated
- Sep 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | F402317 | NY | Yes |
Practice location
4867 Broadway, #839New York, NY 10034
Phone 646-830-4735
Mailing address
4867 Broadway, #839New York, NY 10034
Phone 646-830-4735
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