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NPI Code Detail

MEDICARE: MS. NANCY C SHENCK CRNP

MEDICARE: MS. NANCY C SHENCK CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LX0001XObstetrics & Gynecology Nurse PractitionerVP000913GPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10149894OTHERPAHIGHMARK BLUE SHIELD
201646203OTHERPACAPITAL BLUE CROSS-WMG
3105126OTHERPAJOHNS HOPKINS
420019364OTHERPAAMERIHEALTH MERCY-WMG
51551702OTHERPAGATEWAY-WMG
6619063OTHERPACAREFIRST MD BCBS

General Provider Information

NPI Number : 1255361994
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY C SHENCK CRNP
Provider Business Mailing Address
First Line : 3421 CONCORD RD
Second Line :
City : YORK
State : PA
Zip : 17402-9001
Country : US
Telephone Number : 717-812-7800
Fax Number : 717-812-7811
Provider Business Practice Location Address
First Line : 4222 LINCOLN HWY
Second Line :
City : YORK
State : PA
Zip : 17406-8083
Country : US
Telephone Number : 717-812-7800
Fax Number : 717-812-7811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 02/04/2014

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