National Provider Identifier
Shelley Mae Bacon, NP
Shelley Mae Bacon, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Amherst, NY and a listed phone number of (716) 923-4380.
Profile Overview
- NPI
- 1669966065
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- June 19, 2018
- Last Updated
- June 19, 2018
Practice Location
- 4979 Harlem RD
- Amherst, NY 14226-2547
Phone: (716) 923-4380
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1669966065
- Entity Type
- Individual
- Last Name
- Bacon
- First Name
- Shelley
- Middle Name
- Mae
- Credential
- NP
- Mailing Street Address
- 4979 Harlem RD
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-2547
- Mailing Country
- US
- Mailing Phone
- (716) 923-4380
- Practice Street Address
- 4979 Harlem RD
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-2547
- Practice Country
- US
- Practice Phone
- (716) 923-4380
- Practice Fax
- (716) 923-4384
- Enumeration Date
- June 19, 2018
- Last Updated
- June 19, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)