Individual provider · Type 1 NPI
Shelby Danielle Alexa-Dizard, CNM/WHNP, RN
Women's Health Nurse Practitioner · Newburgh, NY
NPI number
1770141616
Active
Practice location
136 Lake St Ste 11
Newburgh, NY 12550-5245
Mailing address
86 Sheridan Rd
Scarsdale, NY 10583-1553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 685729 (NY) |
| Midwife | 176B00000X | F001920 (NY) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | 421498 (NY) |
Women's Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1770141616
Shelby Danielle Alexa-Dizard, CNM/WHNP, RN's National Provider Identifier is 1770141616, issued on Jun 5, 2019. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Newburgh, NY. The record was last updated on Feb 1, 2024.