Provider Demographics
NPI:1548050370
Name:ATTEYEH, SHIRLEY THERESA (MSN RN)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:THERESA
Last Name:ATTEYEH
Suffix:
Gender:F
Credentials:MSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-1016
Mailing Address - Country:US
Mailing Address - Phone:973-703-3238
Mailing Address - Fax:973-703-3238
Practice Address - Street 1:20 CENTER AVE
Practice Address - Street 2:
Practice Address - City:CEDAR GROVE
Practice Address - State:NJ
Practice Address - Zip Code:07009-1016
Practice Address - Country:US
Practice Address - Phone:973-703-3238
Practice Address - Fax:973-703-3238
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR11377400163WP0808X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health