National Provider Identifier

Sheila Jessica Justin, REGISTERED NURSE/RN

Sheila Jessica Justin, REGISTERED NURSE/RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Depew, NY and a listed phone number of (716) 683-1700.

NPI 1871277475Depew, NYRegistered Nurse

Profile Overview

NPI
1871277475
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
June 14, 2023
Last Updated
June 14, 2023

Practice Location

  • 3260 Walden Ave
  • Depew, NY 14043

Phone: (716) 683-1700

Mailing Address

  • 117 South Dr
  • Amherst, NY 14226

Specialties

  • Registered Nurse (163W00000X)
  • Home Health Registered Nurse (163WH0200X)
Full Record
NPI
1871277475
Entity Type
Individual
Last Name
Justin
First Name
Sheila
Middle Name
Jessica
Credential
REGISTERED NURSE/RN
Provider Other Last Name
Marciniak
Provider Other First Name
Sheila
Provider Other Middle Name
Jessica
Provider Other Credential Text
RN
Provider Other Last Name Type Code
1
Mailing Street Address
117 South Dr
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226
Mailing Country
US
Mailing Phone
(716) 570-7572
Mailing Fax
(716) 836-0236
Practice Street Address
3260 Walden Ave
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043
Practice Country
US
Practice Phone
(716) 683-1700
Enumeration Date
June 14, 2023
Last Updated
June 14, 2023
Sex
Female
Sole Proprietor
No
Certification Date
June 13, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X), Home Health Registered Nurse (163WH0200X)