Healthcare Provider Details

I. General information

NPI: 1013023043
Provider Name (Legal Business Name): JOY ELAINE SCHANK RN, MSN, ANP, CWOCN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 N MAIN ST
PENN YAN NY
14527-1070
US

IV. Provider business mailing address

418 N MAIN ST
PENN YAN NY
14527-1070
US

V. Phone/Fax

Practice location:
  • Phone: 315-536-3368
  • Fax: 315-536-4729
Mailing address:
  • Phone: 315-536-3368
  • Fax: 315-536-4729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF302081
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: