Individual
MEREDITH GROFF SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
161 FORT WASHINGTON AVE, 11TH FLOOR, NEW YORK, NY 10032-3729
(212) 305-0114
(212) 305-0116
Mailing address
161 FORT WASHINGTON AVE, 11TH FLOOR, NEW YORK, NY 10032-3729
(212) 305-0114
(212) 305-0116
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306338
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03643529
—
NY
Enumeration date
12/07/2012
Last updated
02/04/2016
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