Nina Marie Shank, CRNP is a
Nurse Practitioner - Primary Care based in Laurel Run, Pennsylvania. Nina Marie Shank is licensed to practice in Pennsylvania (license number SP018840) and her current practice location is
1100 E Northampton St, Laurel Run, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 823-1171.
NPI number for Nina Marie Shank is 1699254201 and her current mailing address is 43 S Main St, Ashley, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699254201.
Provider's Profile
Full Name | Nina Marie Shank |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 1100 E Northampton St, Laurel Run, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699254201
- Provider Enumeration Date: 08/14/2018
- Last Update Date: 03/07/2022
Medical Identifiers
Medical identifiers for Nina Marie Shank such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699254201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | SP018840 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nina Marie Shank is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nina Marie Shank, CRNP 43 S Main St, Ashley, PA 18706-1506 Ph: () - | Nina Marie Shank, CRNP 1100 E Northampton St, Laurel Run, PA 18706-9520 Ph: (570) 823-1171 |
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