Individual
SHAWNA NESBITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1591 METROPOLITAN AVE, APT 2D, BRONX, NY 10462-6203
(347) 254-3145
Mailing address
1591 METROPOLITAN AVE, APT 2D, BRONX, NY 10462-6203
(347) 254-3145
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
548342
NY
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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