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IAN SHANNON
Nurse Practitioner
NPI: 1679461818IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
312441(NY)
Registered Nurse
Registered Nurse
Code: 163W00000X
795387(NY)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2025
Contact & Hours
- Address
- 601 ELMWOOD AVE FL 3
ROCHESTER, NY 14642 - Phone
- (585) 275-2901
Quick Facts
- NPI
- 1679461818
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 1
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