Individual
SHAYLEIGH KATHERINE DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-AC
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
26NR17620300
NJ
163WP0200X
Pediatric Registered Nurse
Primary
653856
NY
163WP0200X
Pediatric Registered Nurse
RN642653
PA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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