| Shelley Dawn Steeprock, FNP | |
|
845 Rtes 5 & 20, Irving, NY 14081-9716 | |
| (716) 951-7000 | |
| Not Available |
| Full Name | Shelley Dawn Steeprock |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 845 Rtes 5 & 20, Irving, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689921942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F332385 (New York) | Primary |
| Entity Name | Tlc Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487738886 PECOS PAC ID: 9335059757 Enrollment ID: O20031103000403 |
| Entity Name | St James Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013985399 PECOS PAC ID: 0345154480 Enrollment ID: O20031113000649 |
| Entity Name | Seneca Nation Of Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023033511 PECOS PAC ID: 8123920592 Enrollment ID: O20040126000146 |
| Entity Name | Brooks-tlc Hospital System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215917224 PECOS PAC ID: 9537158720 Enrollment ID: O20040512000025 |
| Entity Name | Brooks-tlc Hospital System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1669012597 PECOS PAC ID: 9537158720 Enrollment ID: O20200601001840 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley Dawn Steeprock, FNP 11125 Southwestern Blvd, Irving, NY 14081-9531 Ph: (716) 549-0861 | Shelley Dawn Steeprock, FNP 845 Rtes 5 & 20, Irving, NY 14081-9716 Ph: (716) 951-7000 |