| Doctor Name: | MRS. SHELLI LEORE FEDER |
| NPI Number: | 1134439565 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN FNP-BC |
| License Number: | RN1021360 |
| Business Practice Address: | 100 Double Beach Rd Branford, CT - 064054909 |
| Business Phone Number: | 9372392801 |
| Business Fax Number: | |
| Mailing Address: | 19 Woodland St Apt 2, NEW HAVEN |
| State: | CT |
| Postal Code: | 065113544 |
| Phone Number: | 9372392801 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2010 |
| NPI Last Update Date: | 01/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN1021360 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |