SHANNON MARIE NICOSIA

STATE COLLEGE, PA
NPI1114539269
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SP025407)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: NY  346354)
Enumeration Date2020-08-20
Last Update Date2023-11-13
Business Address
SHANNON MARIE NICOSIA FNP
200 SCENERY DR
STATE COLLEGE, PA 16801-7974
Phone number: 570-271-6516
Mailing Address
SHANNON MARIE NICOSIA FNP
161 HARVEST HILL LN
SPRING MILLS, PA 16875-1610
Phone number: 814-360-8827