Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER M SHANNON, NP
ActiveHEATHER M SHANNON, NP is a Women's Health Nurse Practitioner healthcare provider located in FULTON, New York. NPI 1790775005 is currently active in the NPPES registry. Verify at CMS.
Women's Health Nurse Practitioner · FULTON, NY
Registration Details
- NPI Number
- 1790775005
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2005 (20.83177157916 yrs)
- Last Updated
- Sep 10, 2025
- Licenses
-
00420826 (NY)F000678-1 (NY)
Practice Information
- Address
-
522 S 4TH ST STE 500FULTON, NY, 13069Browse NY providers · Browse ZIP 13069
- Phone
- 3155984740
- Fax
- 3155984728
- Primary Specialty
-
Women's Health Nurse Practitioner
363LW0102X
- Additional Specialty
- Advanced Practice Midwife
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.