ELIZABETH MARY SHENK NP NPI 1265954259

NPI Information

NPI: 1265954259
Provider Name: ELIZABETH MARY SHENK, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1650 GRAND CONCOURSE
BRONX, NY
ZIP 10457
Phone: (718) 590-1800
Get Directions

Elizabeth Mary Shenk, NP is a family nurse practitioner in Bronx, NY with 6 years of experience. Elizabeth Mary Shenk, NP NPI is 1265954259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1650 GRAND CONCOURSE
BRONX, NY
ZIP 10457-606
Phone: (718) 590-1800

The NPI 1265954259 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2017 and was last updated on 1/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WE0003X	Registered Nurse	Emergency	702298	NEW YORK	No
2	363LF0000X	Nurse Practitioner	Family	342763	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	342763	OTHER	NEW YORK	FAMILY NURSE PRACTITIONER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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