Individual
ELIZABETH M SHORTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
101 NICOLLS RD, HSC-T17 ROOM 040/DIVISION OD PULMONARY MEDICINE, STONY BROOK, NY 11794-8172
(631) 444-7786
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-8500
(631) 444-1512
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7233900
NY
Other
Enumeration date
10/02/2010
Last updated
10/02/2010
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