Peters, Shelly Lynn

Peters, Shelly Lynn is an sole proprietor health care provider with primary practice located at 324 University Ave Fl 3 , Syracuse NY 13210-1811. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Peters, Shelly Lynn can be contacted via phone (315) 362-2540.

Contact Information

Primary practice address
324 University Ave Fl 3 Syracuse NY 13210-1811
Phone: (315) 362-2540
Fax: (315) 361-1786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 402033 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 402033 New York

Profile Details

NPI number 1942754015
LBN Legal business name Peters, Shelly Lynn
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2016
Last updated Feb 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942754015 NPPES
New York MEDICAID 04532216

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