Individual provider · Type 1 NPI

Soo Yeon Shin

Family Nurse Practitioner · Cortland, NY

NPI number 1205445640 Active

Practice location

134 Homer Ave
Cortland, NY 13045-1206

Mailing address

1 Guthrie Sq
Sayre, PA 18840-1625

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X346297 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1205445640

Soo Yeon Shin's National Provider Identifier is 1205445640, issued on Jul 30, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cortland, NY. The record was last updated on Mar 5, 2021.