Doctor Name: | SHELLY SINATRA |
NPI Number: | 1467666453 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 209004067 |
Business Practice Address: | 3310 W. Main St Suite 200 St. Charles, IL - 60175 |
Business Phone Number: | 6308976044 |
Business Fax Number: | 6308970180 |
Mailing Address: | 1870 W Galena Blvd, AURORA |
State: | IL |
Postal Code: | 605064356 |
Phone Number: | 6308596800 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 209004067 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |