Shawn Marie Chase, RN
Individual provider Active NPI Registered Nurse · Canastota, NY
NPI 1902166234 · NPPES record last updated May 21, 2012
Key facts
- NPI
- 1902166234
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 592213 (NY)
- Practice address
- 101 Roberts St
Canastota, NY 13032-1126 - Phone
- (315) 697-6315
- Fax
- (315) 697-6314
- NPI assigned
- May 21, 2012
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 592213 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 592213 | NY | Yes |
Addresses
Primary practice location
101 Roberts St
Canastota, NY 13032-1126
Mailing address
101 Roberts St
Canastota, NY 13032-1126
Phone (315) 697-6315
Other providers in Canastota, NY
- Canastota Central School
- Canastota Pharmacy Dba Communitypharmacy
- Harry E Capone
- Harry E Capone Sr.
- Kathleen Rose Capone
- Charles A Choi
- CMV Pharmacy Inc
- CMV Pharmacy Inc
- Cny Dental, PLLC
- James Louis Colocotronis
All providers in Canastota, NY · 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 May 21, 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.