National Provider Identifier
Shannon M Mooney, PAC
Shannon M Mooney, PAC is listed in the NPPES registry with a primary specialty of Physician Assistant in Wellsville, NY and a listed phone number of (585) 596-4088.
Profile Overview
- NPI
- 1487809083
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 24, 2008
- Last Updated
- July 03, 2023
Practice Location
- 13 Loder St
- Wellsville, NY 14895
Phone: (585) 596-4088
Mailing Address
- 13 Loder St
- Wellsville, NY 14895-1112
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Endpoints
- smooney83705@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1487809083
- Entity Type
- Individual
- Last Name
- Mooney
- First Name
- Shannon
- Middle Name
- M
- Credential
- PAC
- Provider Other Last Name
- Wesche
- Provider Other First Name
- Shannon
- Provider Other Middle Name
- M
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 13 Loder St
- Mailing City
- Wellsville
- Mailing State
- NY
- Mailing ZIP Code
- 14895-1112
- Mailing Country
- US
- Mailing Phone
- (585) 596-4088
- Practice Street Address
- 13 Loder St
- Practice City
- Wellsville
- Practice State
- NY
- Practice ZIP Code
- 14895
- Practice Country
- US
- Practice Phone
- (585) 596-4088
- Enumeration Date
- November 24, 2008
- Last Updated
- July 03, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)