National Provider Identifier
Shannon Kasper, DNP
Shannon Kasper, DNP is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner in Rochester, NY and a listed phone number of (585) 922-4518.
Profile Overview
- NPI
- 1457712101
- Provider Type
- Individual
- Primary Specialty
- Gerontology Nurse Practitioner
- Enumeration Date
- March 09, 2016
- Last Updated
- December 04, 2019
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3011
Phone: (585) 922-4518
Mailing Address
- 4993 Tim Tam Trl
- Blasdell, NY 14219-2633
Specialties
- Gerontology Nurse Practitioner (363LG0600X)
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1457712101
- Entity Type
- Individual
- Last Name
- Kasper
- First Name
- Shannon
- Credential
- DNP
- Mailing Street Address
- 4993 Tim Tam Trl
- Mailing City
- Blasdell
- Mailing State
- NY
- Mailing ZIP Code
- 14219-2633
- Mailing Country
- US
- Mailing Phone
- (716) 998-1405
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3011
- Practice Country
- US
- Practice Phone
- (585) 922-4518
- Practice Fax
- (585) 336-5113
- Enumeration Date
- March 09, 2016
- Last Updated
- December 04, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gerontology Nurse Practitioner (363LG0600X), Adult Health Nurse Practitioner (363LA2200X)