Individual
MRS. SHELLYANN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(929) 273-7601
Mailing address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(929) 273-7601
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
630499
NY
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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