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Shannen Wilson

NPI 1578412052 · on the registry since 2026 · sole proprietor

Practice

Address
1756 State Route 44 N
Coudersport, PA 16915
Phone
(716) 375-8920

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-27

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 Pennsylvania