Ms Shelley Joan Clancy, RN, BSN, IBCLC,RLC - Registered Nurse in Caldwell, NJ

Ms Shelley Joan Clancy, RN, BSN, IBCLC,RLC is a Registered Nurse - Lactation Consultant based in Caldwell, New Jersey. Ms Shelley Joan Clancy is licensed to practice in New Jersey (license number 108-72946) and her current practice location is 105 Roseland Ave, Unit 901, Caldwell, New Jersey. She can be reached at her office (for appointments etc.) via phone at (201) 739-4058.

NPI number for Ms Shelley Joan Clancy is 1417200502 and her current mailing address is 105 Roseland Ave, Unit 901, Caldwell, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417200502.

Contact Information

Ms Shelley Joan Clancy, RN, BSN, IBCLC,RLC
105 Roseland Ave, Unit 901,
Caldwell, NJ 07006-5943
(201) 739-4058
Not Available



Provider's Profile

Full NameMs Shelley Joan Clancy
GenderFemale
SpecialityRegistered Nurse - Lactation Consultant
Location105 Roseland Ave, Caldwell, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417200502
  • Provider Enumeration Date: 10/26/2012
  • Last Update Date: 10/26/2012

Medical Identifiers

Medical identifiers for Ms Shelley Joan Clancy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417200502NPI-NPPES
12455215OtherNYCAQH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WL0100XRegistered Nurse - Lactation Consultant 108-72946 (New Jersey)Primary
163WL0100XRegistered Nurse - Lactation Consultant 541810-1 (New York)Secondary
163WL0100XRegistered Nurse - Lactation Consultant 26NR06350900 (New Jersey)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Shelley Joan Clancy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Shelley Joan Clancy, RN, BSN, IBCLC,RLC
105 Roseland Ave, Unit 901,
Caldwell, NJ 07006-5943

Ph: (201) 739-4058
Ms Shelley Joan Clancy, RN, BSN, IBCLC,RLC
105 Roseland Ave, Unit 901,
Caldwell, NJ 07006-5943

Ph: (201) 739-4058

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Registered Nurse Nurses in Caldwell, NJ


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