National Provider Identifier

Shannon Scoma, RN

Shannon Scoma, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Lakewood, NY and a listed phone number of (716) 397-6081.

NPI 1508641051Lakewood, NYRegistered Nurse

Profile Overview

NPI
1508641051
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
August 31, 2023
Last Updated
August 31, 2023

Practice Location

  • 1899 Winch RD
  • Lakewood, NY 14750-9611

Phone: (716) 397-6081

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1508641051
Entity Type
Individual
Last Name
Scoma
First Name
Shannon
Credential
RN
Mailing Street Address
1899 Winch RD
Mailing City
Lakewood
Mailing State
NY
Mailing ZIP Code
14750-9611
Mailing Country
US
Mailing Phone
(716) 397-6081
Practice Street Address
1899 Winch RD
Practice City
Lakewood
Practice State
NY
Practice ZIP Code
14750-9611
Practice Country
US
Practice Phone
(716) 397-6081
Enumeration Date
August 31, 2023
Last Updated
August 31, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
August 31, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)