Provider Demographics
NPI:1255361994
Name:SHENCK, NANCY C (CRNP)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:C
Last Name:SHENCK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:BROWN-SHENCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-7800
Mailing Address - Fax:717-812-7811
Practice Address - Street 1:4222 LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17406-8083
Practice Address - Country:US
Practice Address - Phone:717-812-7800
Practice Address - Fax:717-812-7811
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP000913G363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0149894OtherHIGHMARK BLUE SHIELD
PA01646203OtherCAPITAL BLUE CROSS-WMG
PA105126OtherJOHNS HOPKINS
PA20019364OtherAMERIHEALTH MERCY-WMG
PA1551702OtherGATEWAY-WMG
PA619063OtherCAREFIRST MD BCBS
S32867Medicare UPIN
PA1551702OtherGATEWAY-WMG
PA20019364OtherAMERIHEALTH MERCY-WMG