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

Shannon Church

Individual provider Registered Nurse · NPI 1104364686

Shannon Church is a Registered Nurse in Albany, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
Specialties on file
2

Practice location Address checks out

5 Palisades Dr Ste 200 ST Peter's Internal Medicine
Albany, NY 12205-6433
Phone: (518) 438-0019
Fax: (518) 438-0299
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F341370-1 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 611605 (NY)

Record details

NPI number1104364686
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2017
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021

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