National Provider Identifier

Shannon Marie Fortini, NP

Shannon Marie Fortini, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in West Seneca, NY and a listed phone number of (716) 860-4834.

NPI 1376233189West Seneca, NYFamily Nurse Practitioner

Profile Overview

NPI
1376233189
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
May 15, 2023
Last Updated
January 02, 2026

Practice Location

  • 128 Knox Ave
  • West Seneca, NY 14224-1210

Phone: (716) 860-4834

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1376233189
Entity Type
Individual
Last Name
Fortini
First Name
Shannon
Middle Name
Marie
Credential
NP
Mailing Street Address
128 Knox Ave
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-1210
Mailing Country
US
Mailing Phone
(716) 860-4834
Practice Street Address
128 Knox Ave
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-1210
Practice Country
US
Practice Phone
(716) 860-4834
Enumeration Date
May 15, 2023
Last Updated
January 02, 2026
Sex
Female
Sole Proprietor
No
Certification Date
January 02, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)