Healthcare Provider Details

I. General information

NPI: 1255361994
Provider Name (Legal Business Name): NANCY C SHENCK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NANCY BROWN-SHENCK CRNP

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 02/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4222 LINCOLN HWY
YORK PA
17406-8083
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-812-7800
  • Fax: 717-812-7811
Mailing address:
  • Phone: 717-812-7800
  • Fax: 717-812-7811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberVP000913G
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: