National Provider Identifier
Shannon Raye Nichols
Shannon Raye Nichols is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 247-5281.
Profile Overview
- NPI
- 1114493046
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- October 18, 2018
- Last Updated
- October 18, 2018
Practice Location
- 1408 Sweet Home RD
- Buffalo, NY 14228-2783
Phone: (716) 247-5281
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1114493046
- Entity Type
- Individual
- Last Name
- Nichols
- First Name
- Shannon
- Middle Name
- Raye
- Mailing Street Address
- 1408 Sweet Home RD
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14228-2783
- Mailing Country
- US
- Mailing Phone
- (716) 247-5281
- Mailing Fax
- (716) 204-0670
- Practice Street Address
- 1408 Sweet Home RD
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14228-2783
- Practice Country
- US
- Practice Phone
- (716) 247-5281
- Practice Fax
- (716) 204-0670
- Enumeration Date
- October 18, 2018
- Last Updated
- October 18, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)