National Provider Identifier
Shannon L McCrory, NP
Shannon L McCrory, NP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Lockport, NY and a listed phone number of (716) 433-2674.
Profile Overview
- NPI
- 1497928410
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- April 10, 2008
- Last Updated
- February 12, 2024
Practice Location
- 1149 Lincoln Ave
- Lockport, NY 14094-6152
Phone: (716) 433-2674
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
Full Record
- NPI
- 1497928410
- Entity Type
- Individual
- Last Name
- McCrory
- First Name
- Shannon
- Middle Name
- L
- Credential
- NP
- Mailing Street Address
- 1149 Lincoln Ave
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-6152
- Mailing Country
- US
- Mailing Phone
- (716) 433-2674
- Mailing Fax
- (716) 433-2677
- Practice Street Address
- 1149 Lincoln Ave
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-6152
- Practice Country
- US
- Practice Phone
- (716) 433-2674
- Practice Fax
- (716) 433-2677
- Enumeration Date
- April 10, 2008
- Last Updated
- February 12, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X)
- Other Identifiers
- 0005301420001 (NY, Blue Cross Blue Shield)