Individual provider · Type 1 NPI
Frederick Shields
Psychiatric/Mental Health Nurse Practitioner · New Hyde Park, NY
NPI number
1104435981
Active
Practice location
27005 76th Ave
New Hyde Park, NY 11040-1402
Mailing address
24228 130th Rd
Rosedale, NY 11422-1143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F403085 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104435981
Frederick Shields's National Provider Identifier is 1104435981, issued on Jul 28, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New Hyde Park, NY. The record was last updated on Jul 28, 2020.