Individual provider · Type 1 NPI
Danielle Nicole Shattuck
Adult Health Nurse Practitioner · Smithtown, NY
NPI number
1407534985
Active
Practice location
260 E Middle Country Rd Ste 208
Smithtown, NY 11787-2925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F311302-01 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1407534985
Danielle Nicole Shattuck's National Provider Identifier is 1407534985, issued on Jul 6, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Smithtown, NY. The record was last updated on Oct 3, 2024.