Individual provider · Type 1 NPI
Shelly Lynn Peters, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Syracuse, NY
NPI number
1942754015
Active
Practice location
324 University Ave Fl 3
Syracuse, NY 13210-1811
Fax (315) 361-1786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 402033 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 402033 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1942754015
Shelly Lynn Peters, PMHNP-BC's National Provider Identifier is 1942754015, issued on Aug 6, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Syracuse, NY. The record was last updated on Feb 16, 2024.