Individual provider · Type 1 NPI
Shelby Komisar
Pediatric Registered Nurse · Cheshire, CT
NPI number
1215554845
Active
Practice location
1813 Peck Ln
Cheshire, CT 06410-4411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 136489 (CT) |
Pediatric Registered Nurse: Definition to come...
Other pediatric registered nurse providers in Cheshire
About NPI 1215554845
Shelby Komisar's National Provider Identifier is 1215554845, issued on Jun 30, 2020. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Cheshire, CT. The record was last updated on Jun 30, 2020.