Individual provider · Type 1 NPI
Shannon Ives, CRNP
Obstetrics & Gynecology Nurse Practitioner · East Stroudsburg, PA
NPI number
1063919611
Active
Practice location
228 Independence Rd
East Stroudsburg, PA 18301-9435
Mailing address
726 Maple Grove Rd
Moscow, PA 18444-6862
Other practice locations
- 206 E Brown St, East Stroudsburg, PA 18301-3006 · (570) 476-3367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | SP018102 (PA) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1063919611
Shannon Ives, CRNP's National Provider Identifier is 1063919611, issued on Apr 10, 2018. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in East Stroudsburg, PA. The record was last updated on Nov 12, 2018.