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

Shannon Dittbrenner

Individual provider Licensed Practical Nurse · NPI 1942623558

Shannon Dittbrenner is a Licensed Practical Nurse in Pine Bush, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
Specialties on file
2

Practice location Address checks out

601 Lakewood Rd
Pine Bush, NY 12566-7208
Phone: (845) 283-3177
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 632705 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 282262 (NY)

Record details

NPI number1942623558
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 3, 2014
Last updated in NPPESFebruary 3, 2014
Mailing address601 Lakewood Rd, Pine Bush, NY 12566-7208

Other providers in Pine Bush