Individual provider · Type 1 NPI
Sheila M. Ptak, NP
Pediatric Nurse Practitioner · Syracuse, NY
NPI number
1316603855
Active
Practice location
750 East Adams Street
Syracuse, NY 13210
Fax (315) 464-3693
Mailing address
251 Salina Meadows Parkway, Suite 100
Syracuse, NY 13212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 383311 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 383311 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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- Amy L. Wilson, NPRegistered Nurse First Assistant Syracuse, NY NPI 1447404496
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- Kimberly Wise, NPPediatric Nurse Practitioner Syracuse, NY NPI 1124663521
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About NPI 1316603855
Sheila M. Ptak, NP's National Provider Identifier is 1316603855, issued on Nov 9, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Syracuse, NY. The record was last updated on Jan 16, 2024.