Active NPIIndividual providerSole proprietor

Ms. Shelley J Clancy, RN, BSN, IBCLC, RLC

Registered Nurse, Lactation Consultant in Caldwell, New Jersey

NPI Number1417200502
Practice location
105 Roseland Ave, Unit 901, Caldwell, NJ 07006-5943
Fax
—
Last updated
October 26, 2012

Shelley Joan Clancy is a Registered Nurse, Lactation Consultant based in Caldwell, NJ. Shelley Joan Clancy practices in Caldwell, NJ and has the professional credentials of RN, BSN, IBCLC, RLC. The NPI Number for Shelley Joan Clancy is 1417200502 and holds a License No. 108-72946 (NJ). The current practice location address for Shelley Joan Clancy is 105 Roseland Ave, Unit 901, Caldwell, NJ 07006-5943 and can be reached out via phone at 201-739-4058.

Provider Profile Details

NPI Number
1417200502
Provider Name
Shelley Joan Clancy
Credential
RN, BSN, IBCLC, RLC
Provider Entity Type
Individual
Gender
Female
Address
105 Roseland Ave, Unit 901, Caldwell, NJ 07006-5943
Phone Number
201-739-4058
Primary Taxonomy
Registered Nurse, Lactation Consultant · 163WL0100X
Sole Proprietor
Yes
Provider Enumeration Date
October 26, 2012
Last Update Date
October 26, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Roseland Ave
Unit 901
Caldwell, NJ 07006-5943
Zip
07006-5943
Phone Number
201-739-4058
Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
105 Roseland Ave
Unit 901
Caldwell, NJ 07006-5943
City
Caldwell
State
NJ
Zip
07006-5943
Phone Number
201-739-4058

License Information

License Number (1)
108-72946
License State (1)
NJ
Taxonomy (1)
Registered Nurse, Lactation Consultant · 163WL0100X · Primary
License Number (2)
541810-1
License State (2)
NY
Taxonomy (2)
Registered Nurse, Lactation Consultant · 163WL0100X
License Number (3)
26NR06350900
License State (3)
NJ
Taxonomy (3)
Registered Nurse, Lactation Consultant · 163WL0100X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Shelley J Clancy, RN, BSN, IBCLC, RLC?

The NPI number of Ms. Shelley J Clancy, RN, BSN, IBCLC, RLC is 1417200502. It was assigned on October 26, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Shelley J Clancy, RN, BSN, IBCLC, RLC?

Ms. Shelley J Clancy, RN, BSN, IBCLC, RLC is registered under the primary taxonomy Registered Nurse, Lactation Consultant (code 163WL0100X), licensed in NJ under license number 108-72946.

Where does Ms. Shelley J Clancy, RN, BSN, IBCLC, RLC practice?

The practice location is 105 Roseland Ave, Unit 901, Caldwell, NJ 07006-5943. The office can be reached at 201-739-4058 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417200502 directly on the NPPES registry website.

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