Wendel, Shannon A

Wendel, Shannon A is an individual health care provider with primary practice located at 43 New Scotland Ave # B4 , Albany NY 12208-3412. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Wendel, Shannon A can be contacted via phone (518) 262-9200.

Contact Information

Primary practice address
43 New Scotland Ave # B4 Albany NY 12208-3412
Phone: (518) 262-9200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 382136 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 382136 New York

Profile Details

NPI number 1609188721
LBN Legal business name Wendel, Shannon A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2010
Last updated Sep 14th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609188721 NPPES
New York MEDICAID 02909497

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