Individual provider · Type 1 NPI

Lisa Ann Shotyk, AGPCNP-BC

Nurse Practitioner · Newark, DE

NPI number 1306263199 Active

Practice location

2600 Glasgow Ave
Newark, DE 19702-4773

Fax (302) 836-1906

Mailing address

21 N Kingscroft Dr
Bear, DE 19701-1423

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XLB-0000288 (DE)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1306263199

Lisa Ann Shotyk, AGPCNP-BC's National Provider Identifier is 1306263199, issued on Mar 18, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Newark, DE. The record was last updated on Mar 18, 2014.