Healthcare Provider Details

I. General information

NPI: 1184447823
Provider Name (Legal Business Name): BRITTANY CLAIRE SHIPPEE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3959 BROADWAY
NEW YORK NY
10032-1559
US

IV. Provider business mailing address

1 BEVERLY LN
WALDWICK NJ
07463-1201
US

V. Phone/Fax

Practice location:
  • Phone: 646-317-5239
  • Fax:
Mailing address:
  • Phone: 508-509-6364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number725542
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: