Shantel Eccleston
Nurse Practitioner - Neonatal (Critical Care)
12103 234th St
Rosedale
, New York 11422-1026
Shantel Eccleston
Nurse Practitioner - Neonatal (Critical Care)
12103 234th St
Rosedale
, New York 11422-1026
(347) 232-0792
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Shantel Eccleston
- 12103 234th St
- Rosedale, NY
- Zip : 11422-1026
- Phone : (347) 232-0792
Second Address
- Shantel Eccleston
- 12103 234th St
- Rosedale, NY
- Zip : 11422-1026
- Phone : (347) 232-0792
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 350494 | NY |
National Provider Identifier
| NPI | 1255904751 |
|---|---|
| Provider Name | Shantel Eccleston |
| First Address | Rosedale, NY 11422-1026 |
| Second Address | Rosedale, NY 11422-1026 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2021 |
| Last Update Date | 21/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.