Individual
MISS YANN SHEA STEPHANIE GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
345 EDGERTON BLVD APT 105, AVENEL, NJ 07001-2246
(718) 309-0057
Mailing address
345 EDGERTON BLVD APT 105, AVENEL, NJ 07001-2246
(718) 309-0057
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
26NR24609900
NJ
163WH0200X
Home Health Registered Nurse
Primary
847796
NY
163WH1000X
Hospice Registered Nurse
847796
NY
163WI0500X
Infusion Therapy Registered Nurse
26NR24609900
NJ
163WR0400X
Rehabilitation Registered Nurse
26NR24609900
NJ
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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