Shannon Thayer, MS, CCC-SLP

NPI 1073244224 · on the registry since 2022 · sole proprietor

Practice

Address: 3115 Horseblock Rd
Medford, NY 11763
Phone: (631) 730-3039
Organisation at this address: Nursing Care Center At Medford Inc
Kag Professional Nurse Practitioner In Adult Health Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York