Shantel Eccleston
Shantel Eccleston is a Nurse Practitioner in Rosedale, New York. Qualified in 2020, 6 years ago. Licensed in New York.
- Years since qualifying
- 6
- Licensed in
- NY
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
12103 234th StRosedale, NY 11422-1026
Phone: (347) 232-0792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Critical Care Neonatal Nurse Practitioner (primary) | Taxonomy 363LN0005X · Licence 350494 (NY) |
|---|---|
| Neonatal Intensive Care Registered Nurse | Taxonomy 163WN0002X · Licence 679343 (NY) |
Record details
| NPI number | 1255904751 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 21, 2021 |
| Last updated in NPPES | July 21, 2021 |
| Certification date | July 21, 2021 |
| Mailing address | 12103 234th St, Rosedale, NY 11422-1026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |