MS. SHANTAL R BRISCOE


Address: 180 Clinton St, Apt 10, Avon, NY 14414-1454
Phone: 5852266999

MS. SHANTAL R BRISCOE (NPI# 1447408687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447408687
Entity Type Individual
Full Name MS. SHANTAL R BRISCOE
Credential RN
Practice Address 180 Clinton St
Apt 10
Avon
NY 14414-1454
Practice Telephone 5852266999
Mailing Telephone 5852266999
Enumeration Date 2008-08-29
Last Update Date 2008-08-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 550117-1 NY Nursing Service Providers
Y 163WM0102X Registered Nurse
Specialization: Maternal Newborn
550117-1 NY Nursing Service Providers
N 163WW0101X Registered Nurse
Specialization: Women's Health Care, Ambulatory
550117-1 NY Nursing Service Providers
N 163WX0003X Registered Nurse
Specialization: Obstetric, Inpatient
550117-1 NY Nursing Service Providers

Office Location

Street Address 180 CLINTON ST
APT 10
City AVON
State NY
Zip Code 14414-1454

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NPI Name Taxonomy Address Enumeration
1205059185 Peter J. Dolan Physician Assistant 2077 Lakeville Rd, Suite 3, Avon, NY 14414 2007-04-10
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1225146640 Michael Kevin Oros Dentist 39 West Main Street, Avon, NY 14414 2006-08-26
1275854556 Wesley Herrick Marean IIi Occupational Therapy Assistant 17 Bronson Ave, Avon, NY 14414-1001 2010-06-21
1114334026 Heather Marie Lynn Gerace Specialist/Technologist 96 High St, Avon, NY 14414-1004 2014-07-14
1588986277 Theresa M Rosa Licensed Practical Nurse 45 High St, Apt. 1, Avon, NY 14414-1070 2010-02-22
1265886097 Carol Schrader Registered Nurse 15 Wadsworth Ave, Avon, NY 14414-1123 2016-04-18
1275959447 Michelle Fries Specialist 87 Wadsworth Ave, Avon, NY 14414-1125 2014-03-12
1437245255 Richard Lynn Schillinger Dentist 74 W Main St, Avon, NY 14414-1136 2006-10-05
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Taxonomy Information

Taxonomy Code 163WM0102X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Maternal Newborn

Taxonomy Definition

Definition to come...

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1316324056 Marenn Cole Registered Nurse 241 Moffitt Blvd, Islip, NY 11751-2915 2015-05-01
1245639723 Anna Brady Registered Nurse 123 Gladstone Ave, West Islip, NY 11795-3627 2014-08-20
1508274234 Duchess De Guzman Registered Nurse 2440 Tiebout Ave Apt 4, Bronx, NY 10458-5466 2014-07-25
1154741098 Maria Louise Cotty Registered Nurse 14732 15th Dr, Whitestone, NY 11357-2509 2014-04-18
1316282221 Dawn M Tracy Registered Nurse 818 N Greece Rd, Rochester, NY 14626-1077 2012-12-04
1649541459 Sandra Sanon Registered Nurse 14524 221st St, Springfield Gardens, NY 11413-3435 2012-01-25
1083984256 Erica Sue Meyer Registered Nurse 178 E 109th St, Apt. 4, New York, NY 10029-3657 2012-01-05
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Competitor

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City AVON
Zip Code 14414

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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