Individual provider · Type 1 NPI

Stella Shobowale

General Practice Registered Nurse · Far Rockaway, NY

NPI number 1811211121 Active

Practice location

2929 Beach Channel Dr
Far Rockaway, NY 11691-1919

Fax (718) 471-5978

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X535900-1 (NY)

General Practice Registered Nurse: Definition to come...

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About NPI 1811211121

Stella Shobowale's National Provider Identifier is 1811211121, issued on Mar 16, 2010. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Far Rockaway, NY. The record was last updated on Mar 16, 2010.