Individual provider · Type 1 NPI

Shannon Dittbrenner

Registered Nurse · Pine Bush, NY

NPI number 1942623558 Active

Practice location

601 Lakewood Rd
Pine Bush, NY 12566-7208

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X282262 (NY)
Registered Nurse Primary 163W00000X632705 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1942623558

Shannon Dittbrenner's National Provider Identifier is 1942623558, issued on Feb 3, 2014. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Pine Bush, NY. The record was last updated on Feb 3, 2014.