Roxann Shiber
Individual provider Active NPI Adult Health Nurse Practitioner · Riverside, PA
NPI 1265855449 · NPPES record last updated Jan 24, 2014
Key facts
- NPI
- 1265855449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- SP013269 (PA)
- Practice address
- 100 Avenue C
Riverside, PA 17868-0367 - Phone
- (570) 271-2065
- Fax
- (215) 616-0150
- NPI assigned
- Jan 24, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP013269 | PA | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP013269 | PA | Yes |
Addresses
Primary practice location
100 Avenue C
Riverside, PA 17868-0367
Mailing address
100 Avenue C
Riverside, PA 17868-0367
Phone (570) 271-2065
Other providers in Riverside, PA
All providers in Riverside, PA · Adult Health Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2014. 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.