IndividualActive
Andrea Shannon, R.N.
NPI 1770718702 · Home Health Registered Nurse · West Islip, NY
Provider details
- NPI number
- 1770718702
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 605762-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
23 Horton St
West Islip, NY 11795-1039
Phone: (631) 242-2247
Fax: (631) 242-2247
Approximate (ZIP-level) locationGet directions
Mailing address
23 Horton St
West Islip, NY 11795-1039
Registry dates
- Enumerated
- 2009-05-19
- Last updated
- 2009-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.