Mauro, Shelly

Mauro, Shelly is an individual health care provider with primary practice located at 38 Rolling Brook Dr , Ballston Spa NY 12020-3619. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Mauro, Shelly can be contacted via phone (518) 885-8574.

Contact Information

Primary practice address
38 Rolling Brook Dr Ballston Spa NY 12020-3619
Phone: (518) 885-8574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 22 582415 New York

Profile Details

NPI number 1932646114
LBN Legal business name Mauro, Shelly
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2017
Last updated Jan 25th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932646114 NPPES
New York MEDICAID 1659437630

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