National Provider Identifier
Shannon Willis
Shannon Willis is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Williamsville, NY and a listed phone number of (716) 383-5711.
Profile Overview
- NPI
- 1508740481
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- August 04, 2025
- Last Updated
- August 04, 2025
Practice Location
- 280 Spindrift Dr
- Williamsville, NY 14221-7807
Phone: (716) 383-5711
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1508740481
- Entity Type
- Individual
- Last Name
- Willis
- First Name
- Shannon
- Mailing Street Address
- 280 Spindrift Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-7807
- Mailing Country
- US
- Mailing Phone
- (716) 383-5711
- Mailing Fax
- (716) 817-2602
- Practice Street Address
- 280 Spindrift Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7807
- Practice Country
- US
- Practice Phone
- (716) 383-5711
- Practice Fax
- (716) 817-2602
- Enumeration Date
- August 04, 2025
- Last Updated
- August 04, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 04, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)