Shannon McCartney
Individual provider Active NPI Licensed Practical Nurse · Marlboro, NY
NPI 1952864563 · NPPES record last updated Apr 10, 2019
Key facts
- NPI
- 1952864563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 333341 (NY)
- Practice address
- 1430 Route 9W
Marlboro, NY 12542-5405 - Phone
- (845) 275-5372
- NPI assigned
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 333341 | NY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 333341 | NY | Yes |
Addresses
Primary practice location
1430 Route 9W
Marlboro, NY 12542-5405
Mailing address
1430 Route 9W
Marlboro, NY 12542-5405
Other providers in Marlboro, NY
- Margaret Elaine Mahoney
- Benzion Markowitz
- Marlboro Central School District
- Kimberly Marsden
- Marie Frances Mazza
- Margaret Thurin McClure
- Jolene McGowan
- Jessica Mills
- Montefiore Medical Center
- Melinda Marie Montondo
All providers in Marlboro, NY · Licensed Practical 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 Apr 10, 2019. 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.