Provider Demographics
NPI:1336733377
Name:AMEY, SHATARA NICOLE (RN)
Entity Type:Individual
Prefix:
First Name:SHATARA
Middle Name:NICOLE
Last Name:AMEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 SHENANDOAH DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-2056
Mailing Address - Country:US
Mailing Address - Phone:412-708-0147
Mailing Address - Fax:
Practice Address - Street 1:329 SHENANDOAH DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-2056
Practice Address - Country:US
Practice Address - Phone:412-708-0147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-20
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN705022163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics