Individual provider · Type 1 NPI
Elizabeth M. Shortell, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Stony Brook, NY
NPI number
1154630549
Active
Practice location
101 Nicolls Rd, HSC-T17 Room 040/DIVISION Od Pulmonary Medicine
Stony Brook, NY 11794-8172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 7233900 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1154630549
Elizabeth M. Shortell, NURSE PRACTITIONER's National Provider Identifier is 1154630549, issued on Oct 2, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Oct 2, 2010.