DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SHANIKA DESMOULIN RN, PMHNP-BC

MEDICARE: SHANIKA DESMOULIN RN, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner3819392NY
2163W00000XRegistered Nurse738515NY
3164W00000XLicensed Practical Nurse320771NY

General Provider Information

NPI Number : 1285025965
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANIKA DESMOULIN RN, PMHNP-BC
Provider Business Mailing Address
First Line : 31 BROOKLAWN PL
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06604-2117
Country : US
Telephone Number : 917-651-9240
Fax Number :
Provider Business Practice Location Address
First Line : 31 BROOKLAWN PL
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06604-2117
Country : US
Telephone Number : 917-651-9240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2015
Last Update Date : 05/20/2026

Similar Medicare Providers

1417280652 — DR. JEAN K JACOB PHARM.D.
Practice Location Address:
2117 BOSTON AVE
BRIDGEPORT, CT
06610-3030
Practice Phone: 203-493-4251
Practice Fax:
1316249352 — MAIN STREET PHARMACY 3 LLC
Practice Location Address:
2117 BOSTON AVE
BRIDGEPORT, CT
06610-3030
Practice Phone: 203-212-3800
Practice Fax: 203-212-3802
1811279755 — DR. OLUSEGUN JOSHUA AWODELE PHARM. D
Practice Location Address:
2117 BOSTON AVE
BRIDGEPORT, CT
06610-3030
Practice Phone: 203-212-3800
Practice Fax: 203-212-3802
1407394950 — DR. MELISSA BOUDREAU
Practice Location Address:
2117 BOSTON AVE
BRIDGEPORT, CT
06610-3030
Practice Phone: 203-212-3800
Practice Fax:
1780182766 — MAIN STREET PHARMACY 3 LLC
Practice Location Address:
2117 BOSTON AVE
BRIDGEPORT, CT
06610-3030
Practice Phone: 203-212-3800
Practice Fax: 203-212-3802
1891457370 — DR. ZENUB PARUPIA PHARM. D.
Practice Location Address:
2117 BOSTON AVE
BRIDGEPORT, CT
06610-3030
Practice Phone: 203-212-3800
Practice Fax: 203-212-3802

Directions to “ SHANIKA DESMOULIN RN, PMHNP-BC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.