Doctor Name: | MS. SHARI TEESLINK SHAPLEIGH |
NPI Number: | 1922108299 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 332675 |
Business Practice Address: | 170 North St Tompkins Cortland Community College Dryden, NY - 130538504 |
Business Phone Number: | 6078448211 |
Business Fax Number: | 6078449665 |
Mailing Address: | 31 Kimberly Dr, DRYDEN |
State: | NY |
Postal Code: | 130539728 |
Phone Number: | 6078444566 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 332675 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |