Provider Demographics
NPI:1528585833
Name:PRESSLEY, SHANEY ELIZABETH (APRN)
Entity Type:Individual
Prefix:
First Name:SHANEY
Middle Name:ELIZABETH
Last Name:PRESSLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SHANEY
Other - Middle Name:ELIZABETH
Other - Last Name:CLEIGHTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3500 CIVIC CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4395
Mailing Address - Country:US
Mailing Address - Phone:215-590-3376
Mailing Address - Fax:215-590-4297
Practice Address - Street 1:3500 CIVIC CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4395
Practice Address - Country:US
Practice Address - Phone:215-590-3376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-28
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEAPN-0001836363L00000X
DEL1-0050834363L00000X
PASP018716363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner