Shelly Pasquarelli, RN
Individual provider Active NPI School Registered Nurse · Marcy, NY
NPI 1023361995 · NPPES record last updated Oct 17, 2012
Key facts
- NPI
- 1023361995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 399180-1 (NY)
- Practice address
- 9479 Maynard Drive
Marcy, NY 13403 - Phone
- (315) 266-3424
- Fax
- (315) 735-3358
- NPI assigned
- Oct 17, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 399180-1 | NY | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitesboro Central School | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 399180-1 | NY | Yes |
Addresses
Primary practice location
9479 Maynard Drive
Marcy, NY 13403
Mailing address
67 Whitesboro St
Yorkville, NY 13495-1313
Phone (315) 266-3424
Other providers in Marcy, NY
- Madeleine M O'Brien
- Domenica Mary O'Donnell
- Shauna Alise Ogden
- Amy Palmer
- James Anthony Palombo
- Karen Ann Peruzzi
- Magdalena Pociecha
- Stephanie Ann Potoczny
- Pride Rehabilitative Solutions LLC
- Primps Physical Therapy, PLLC
All providers in Marcy, NY · School Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.