Individual
MRS. KERRI LEE SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, COA, OSA
Contact information
Practice address
63 BRENNAN ST, HUNTINGTON, NY 11743-5551
(516) 216-0246
Mailing address
63 BRENNAN ST, HUNTINGTON, NY 11743-5551
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
804576-01
NY
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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