Individual
MS. SHELLEY MAE LEPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNBSN
Contact information
Practice address
315 EAST 93RD ST, APT 3C, NEW YORK, NY 10128-6127
(207) 653-5785
Mailing address
315 EAST 93RD ST, APT 3C, NEW YORK, NY 10128-6127
(207) 653-5785
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
5439781
NY
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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