Organization
COMPASSIONATE PSYCHIATRIC NP CARE PLLC
Active
Other names
Shelly Lynn Peters
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY LYNN PETERS PMHNP-BC (OWNER/NURSE PRACTITIONER)
(315) 362-2540
Entity
Organization
Contact information
Practice address
5700 W GENESEE ST STE 132, CAMILLUS, NY 13031-3212
(315) 362-2540
(315) 671-1786
Mailing address
5700 W GENESEE ST STE 132, CAMILLUS, NY 13031-3212
(315) 362-2540
(315) 671-1786
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04532216
—
NY
01
—
1942754015
NPI TYPE 1
NY
Enumeration date
07/19/2019
Last updated
08/20/2019
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