SHANTEL ECCLESTON

ROSEDALE, NY
NPI1255904751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: NY  350494)
Additional Taxonomies163WN0002X Registered Nurse, Neonatal Intensive Care
(Licence: NY  679343)
Enumeration Date2021-07-21
Last Update Date2021-07-21
Business Address
SHANTEL ECCLESTON
12103 234TH ST
ROSEDALE, NY 11422-1026
Phone number: 347-232-0792
Mailing Address
SHANTEL ECCLESTON
12103 234TH ST
ROSEDALE, NY 11422-1026
Phone number: 347-232-0792