Active NPIIndividual providerSole proprietor

Shanniqua Mitchell, FNP-BC

Nurse Practitioner, Family in West Haverstraw, New York

NPI Number1528562105
Practice location
94 Benson St, West Haverstraw, NY 10993-1303
Fax
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Last updated
October 1, 2025

Shanniqua Mitchell is a Nurse Practitioner, Family based in West Haverstraw, NY. Shanniqua Mitchell practices in West Haverstraw, NY and has the professional credentials of FNP-BC. The NPI Number for Shanniqua Mitchell is 1528562105 and holds a License No. 357874 (NY). The current practice location address for Shanniqua Mitchell is 94 Benson St, West Haverstraw, NY 10993-1303 and can be reached out via phone at 845-274-0070.

Provider Profile Details

NPI Number
1528562105
Provider Name
Shanniqua Mitchell
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
94 Benson St, West Haverstraw, NY 10993-1303
Phone Number
845-274-0070
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
March 20, 2018
Last Update Date
October 1, 2025
Certification Date
October 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 Benson St
West Haverstraw, NY 10993-1303
Zip
10993-1303
Phone Number
845-274-0070
West Haverstraw, NY 10993Get directions →

Provider Business Mailing Address Details

Address
94 Benson St
West Haverstraw, NY 10993-1303
City
West Haverstraw
State
NY
Zip
10993-1303

License Information

License Number (1)
357874
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
627210
License State (2)
NY
Taxonomy (2)
Registered Nurse · 163W00000X

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 Shanniqua Mitchell, FNP-BC?

The NPI number of Shanniqua Mitchell, FNP-BC is 1528562105. It was assigned on March 20, 2018 and is currently active in the NPPES registry.

What is the specialty of Shanniqua Mitchell, FNP-BC?

Shanniqua Mitchell, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 357874.

Where does Shanniqua Mitchell, FNP-BC practice?

The practice location is 94 Benson St, West Haverstraw, NY 10993-1303. The office can be reached at 845-274-0070 (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 1528562105 directly on the NPPES registry website.

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