Individual
SHIVANI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
19 S LEXOW AVE, NANUET, NY 10954-3234
(845) 536-7677
Mailing address
19 S LEXOW AVE, NANUET, NY 10954-3234
(845) 536-7677
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
311949
NY
Other
Enumeration date
04/03/2025
Last updated
06/17/2025
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