National Provider Identifier

Shannon Bartlett, NP

Shannon Bartlett, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Brockport, NY and a listed phone number of (585) 637-3905.

NPI 1861154825Brockport, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1861154825
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
October 07, 2021
Last Updated
December 07, 2021

Practice Location

  • 300 West Ave
  • Brockport, NY 14420-1118

Phone: (585) 637-3905

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1861154825
Entity Type
Individual
Last Name
Bartlett
First Name
Shannon
Name Prefix
Mrs.
Credential
NP
Mailing Street Address
300 West Ave
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1118
Mailing Country
US
Mailing Phone
(585) 637-3905
Practice Street Address
300 West Ave
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1118
Practice Country
US
Practice Phone
(585) 637-3905
Enumeration Date
October 07, 2021
Last Updated
December 07, 2021
Sex
Female
Sole Proprietor
No
Certification Date
December 07, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)