Individual provider · Type 1 NPI
Shanique Herbert
Family Nurse Practitioner · Rosedale, NY
NPI number
1720914112
Active
Practice location
26226 149th Rd
Rosedale, NY 11422-3036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 360176 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1720914112
Shanique Herbert's National Provider Identifier is 1720914112, issued on Jun 22, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rosedale, NY. The record was last updated on Jun 22, 2026.