Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Erastus Shannon, PMH-NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1710695762

Mr. Erastus Shannon, PMH-NP is a Psychiatric/Mental Health Nurse Practitioner in Albany, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

418 Broadway Ste N
Albany, NY 12207-2922
Phone: (516) 200-6865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 404594 (NY)

Record details

NPI number1710695762
Entity typeIndividual (Type 1)
GenderMale
Credentials PMH-NP
Sole proprietorYes
NPI enumeratedNovember 8, 2022
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022

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