Individual provider · Type 1 NPI
Shantel Eccleston
Critical Care Neonatal Nurse Practitioner · Rosedale, NY
NPI number
1255904751
Active
Practice location
12103 234th St
Rosedale, NY 11422-1026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 679343 (NY) |
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | 350494 (NY) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
About NPI 1255904751
Shantel Eccleston's National Provider Identifier is 1255904751, issued on Jul 21, 2021. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Rosedale, NY. The record was last updated on Jul 21, 2021.