MS. SHELLEY JOAN CLANCY RN, BSN, IBCLC,RLC - NPI 1417200502

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WL0100X and a focus in Lactation Consultant.

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About Ms. Shelley Joan Clancy Rn, Bsn, Ibclc,rlc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHELLEY JOAN CLANCY RN, BSN, IBCLC,RLC (NPI 1417200502) is an individual lactation consultant provider in Caldwell, New Jersey, licensed in New Jersey (108-72946) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1417200502

Entity TypeIndividualFemale

Primary Taxonomy163WL0100X

Provider Legal NameMS. SHELLEY JOAN CLANCYCredential: RN, BSN, IBCLC,RLC

Location Address105 ROSELAND AVE, UNIT 901Caldwell, NJ 07006-5943

Mailing Address105 Roseland Ave, Unit 901Caldwell, NJ 07006-5943 · (201) 739-4058

Phone(201) 739-4058

Sole ProprietorYes

Enumeration DateOctober 26, 2012

✔ NPI 1417200502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers

Taxonomy Code163WL0100X

Licenses✔ Licensed in NJ · 108-72946✔ Licensed in NY · 541810-1✔ Licensed in NJ · 26NR06350900

105 ROSELAND AVE, Caldwell, NJ 07006

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Other Identifiers 1

Other12455215NY · Caqh

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NATALYA B IZAKOV D.O.

Emergency Medicine

105 ROSELAND AVE, UNIT 1104
CALDWELL, NJ 07006

Essex County (973) 287-6485

Frequently Asked Questions

What is Shelley Clancy's NPI number?

The NPI number assigned to this healthcare provider is 1417200502, enumerated as an "individual" on October 26, 2012.

Where is the provider located?

The provider is located at 105 ROSELAND AVE UNIT 901 CALDWELL, NJ 07006 and the phone number is (201) 739-4058.

What is the provider's specialty?

Registered Nurse with taxonomy code 163WL0100X and a focus in Lactation Consultant.

What insurance does Shelley Clancy accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.