National Provider Identifier
Shiane Laken Irwin, FNP
Shiane Laken Irwin, FNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Rochester, NY and a listed phone number of (585) 486-0147.
Profile Overview
- NPI
- 1154115574
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- April 09, 2025
- Last Updated
- September 08, 2025
Practice Location
- 400 Red Creek Dr Ste 110
- Rochester, NY 14623-4273
Phone: (585) 486-0147
Mailing Address
- 601 Elmwood Ave Box Med
- Rochester, NY 14642-0001
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1154115574
- Entity Type
- Individual
- Last Name
- Irwin
- First Name
- Shiane
- Middle Name
- Laken
- Name Prefix
- MS.
- Credential
- FNP
- Mailing Street Address
- 601 Elmwood Ave Box Med
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 400 Red Creek Dr Ste 110
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-4273
- Practice Country
- US
- Practice Phone
- (585) 486-0147
- Enumeration Date
- April 09, 2025
- Last Updated
- September 08, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 08, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)