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Contact Information

SHAKIRA M PANTHER WILBURG, RN
14136 256TH ST
ROSEDALE, NY11422-3325
 Phone: 347-728-7371
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SHAKIRA M PANTHER WILBURG · (Female)

NPI Number 1962729020
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 04/29/2010
Last updated 04/29/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 619092
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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