Provider Demographics
NPI:1922108299
Name:SHAPLEIGH, SHARI TEESLINK (FNP)
Entity Type:Individual
Prefix:MS
First Name:SHARI
Middle Name:TEESLINK
Last Name:SHAPLEIGH
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 1:31 KIMBERLY DR
Mailing Address - Street 2:
Mailing Address - City:DRYDEN
Mailing Address - State:NY
Mailing Address - Zip Code:13053-9728
Mailing Address - Country:US
Mailing Address - Phone:607-844-4566
Mailing Address - Fax:
Practice Address - Street 1:170 NORTH ST
Practice Address - Street 2:TOMPKINS CORTLAND COMMUNITY COLLEGE
Practice Address - City:DRYDEN
Practice Address - State:NY
Practice Address - Zip Code:13053-8504
Practice Address - Country:US
Practice Address - Phone:607-844-8211
Practice Address - Fax:607-844-9665
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332675363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily