Doctor Name: | MS. ELIZABETH BERNADETTE SHELLEY |
NPI Number: | 1073862207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP, RN |
License Number: | 652493 |
Business Practice Address: | 2015 Grand Concourse Bronx, NY - 104534303 |
Business Phone Number: | 7182997295 |
Business Fax Number: | 7182996797 |
Mailing Address: | 3198 Grand Concourse, BRONX |
State: | NY |
Postal Code: | 104581000 |
Phone Number: | 7186180401 |
Fax Number: | 7187954394 |
NPI Enumeration Date: | 09/04/2012 |
NPI Last Update Date: | 04/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 652493 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |