Provider Demographics
NPI:1467144832
Name:FLORANS, SHIRA (FNP)
Entity Type:Individual
Prefix:
First Name:SHIRA
Middle Name:
Last Name:FLORANS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2647 MILTON RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4615
Mailing Address - Country:US
Mailing Address - Phone:845-826-6308
Mailing Address - Fax:
Practice Address - Street 1:1166 RIVER AVE STE 5
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5677
Practice Address - Country:US
Practice Address - Phone:718-500-4888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-24
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY351835363LF0000X
NJ26NJ14872300363LF0000X
OHAPRN.CNP.0034277363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily