National Provider Identifier

Elizabeth Shannon, PMHNP

Elizabeth Shannon, PMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 201-8155.

NPI 1578931762Rochester, NYPsychiatric/Mental Health Nurse Practitioner

Profile Overview

NPI
1578931762
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Nurse Practitioner
Enumeration Date
September 04, 2015
Last Updated
January 30, 2023

Practice Location

  • 2300 East Ave
  • Rochester, NY 14610-2564

Phone: (585) 201-8155

Specialties

  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
NPI
1578931762
Entity Type
Individual
Last Name
Shannon
First Name
Elizabeth
Credential
PMHNP
Mailing Street Address
2300 East Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14610-2564
Mailing Country
US
Mailing Phone
(585) 201-8155
Mailing Fax
(585) 340-7973
Practice Street Address
2300 East Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14610-2564
Practice Country
US
Practice Phone
(585) 201-8155
Practice Fax
(585) 340-7973
Enumeration Date
September 04, 2015
Last Updated
January 30, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
January 30, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Psychiatric/Mental Health Nurse Practitioner (363LP0808X)