National Provider Identifier
Shelly M Shaffer
Shelly M Shaffer is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Jamestown, NY and a listed phone number of (716) 661-8330.
Profile Overview
- NPI
- 1750104261
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 04, 2024
- Last Updated
- November 04, 2024
Practice Location
- 200 E 3Rd St Ste 5
- Jamestown, NY 14701-5433
Phone: (716) 661-8330
Mailing Address
- 2 Academy St Rm 201
- Mayville, NY 14757-1050
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1750104261
- Entity Type
- Individual
- Last Name
- Shaffer
- First Name
- Shelly
- Middle Name
- M
- Provider Other Last Name
- Benedetto
- Provider Other First Name
- Shelly
- Provider Other Middle Name
- M
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2 Academy St Rm 201
- Mailing City
- Mayville
- Mailing State
- NY
- Mailing ZIP Code
- 14757-1050
- Mailing Country
- US
- Mailing Phone
- (716) 753-4104
- Practice Street Address
- 200 E 3Rd St Ste 5
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-5433
- Practice Country
- US
- Practice Phone
- (716) 661-8330
- Enumeration Date
- November 04, 2024
- Last Updated
- November 04, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 04, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)