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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON FOURTNER, MD

Active

SHANNON FOURTNER, MD is a Pediatric Endocrinology healthcare provider located in WILLIAMSVILLE, New York. NPI 1225111651 is currently active in the NPPES registry. Verify at CMS.

Pediatric Endocrinology · WILLIAMSVILLE, NY

Registration Details

NPI Number
1225111651
Provider Type
Individual
Gender
Female
NPI Issued
Oct 21, 2006 (19.83846292111 yrs)
Last Updated
Mar 7, 2025
License
236427 (NY)

Practice Information

Address
8203 MAIN ST STE 14
WILLIAMSVILLE, NY, 142216051
Browse NY providers · Browse ZIP 14221
Phone
5852017112
Fax
5852017128
Primary Specialty
Pediatric Endocrinology
2080P0205X

Other Pediatric Endocrinology Providers in WILLIAMSVILLE, NY

Name Credential NPI
NADEZHDA DANILOVICH MD 1316077878
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.