Individual
DANIELLE RAE SHIFFLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1425 PORTLAND AVE, BOX 143, ROCHESTER, NY 14621-3001
(585) 922-4211
Mailing address
1425 PORTLAND AVE, BOX 143, ROCHESTER, NY 14621-3001
(585) 922-4211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
337649
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
337649
NP LICENSE
NY
Enumeration date
06/11/2013
Last updated
06/11/2013
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