Shannon Marie Bond
Individual provider Active NPI Registered Nurse · Morrisonville, NY
NPI 1699467415 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1699467415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 881449 (NY)
- Practice address
- 2155 State Route 22B
Morrisonville, NY 12962-3417 - Phone
- (518) 563-8000
- NPI assigned
- May 22, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 881449 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 881449 | NY | Yes |
Addresses
Primary practice location
2155 State Route 22B
Morrisonville, NY 12962-3417
Mailing address
2155 State Route 22B
Morrisonville, NY 12962-3417
Phone (518) 563-8000
Other providers in Morrisonville, NY
- Kathleen M Bedard
- Behavioral Health Services North, Inc.
- Brittany Lynn Bennett
- Michele Bogensberger
- Melissa Lynn Bolster
- Michael Lee Bowen
- Corey Edward Boyd
- Heather Lynn Bradley
- Sara Lynn Broadwell
- Kaylee Lynn Brockway
All providers in Morrisonville, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.