SHELBY DANIELLE ALEXA-DIZARD

NEWBURGH, NY
NPI1770141616
Former NameSHELBY DANIELLE ALEXA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: NY  421498)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  685729)
176B00000X Midwife
(Licence: NY  F001920)
Enumeration Date2019-06-05
Last Update Date2024-02-01
Business Address
SHELBY DANIELLE ALEXA-DIZARD CNM/WHNP, RN
136 LAKE ST STE 11
NEWBURGH, NY 12550-5245
Phone number: 845-562-7800
Mailing Address
SHELBY DANIELLE ALEXA-DIZARD CNM/WHNP, RN
86 SHERIDAN RD
SCARSDALE, NY 10583-1553
Phone number: 734-972-7686