Individual
MS. SHANTAL R BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
180 CLINTON ST, APT 10, AVON, NY 14414-1454
(585) 226-6999
Mailing address
180 CLINTON ST, APT 10, AVON, NY 14414-1454
(585) 226-6999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
550117-1
NY
163WM0102X
Maternal Newborn Registered Nurse
Primary
550117-1
NY
163WW0101X
Ambulatory Women's Health Care Registered Nurse
550117-1
NY
163WX0003X
Inpatient Obstetric Registered Nurse
550117-1
NY
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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