NPI 1164861084
Denise L Shannon, LPN
Practice location
- Address
- 495 Congress Ave, New Haven, CT 06519-1312
- Phone
- (203) 781-4600
- Fax
- (203) 781-4624
- Mailing address
- 1 Long Wharf Dr, New Haven, CT 06511-5991
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1164861084
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Jun 2013
- Record last updated
- 15 Apr 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.