Individual provider · Type 1 NPI
Andrea M. Shaul, CPNP
Pediatric Nurse Practitioner · Johnson City, NY
NPI number
1336632587
Active
Practice location
639 Main St
Johnson City, NY 13790-1805
Fax (607) 770-1988
Mailing address
71 Hospital Dr
Towanda, PA 18848-9702
Other practice locations
- 71 Hospital Dr, Towanda, PA 18848-9702 · (570) 265-0113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP017960 (PA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | F382793-1 (NY) |
Pediatric Nurse Practitioner: Definition to come...
4 other providers at this address
- Pediatric and Adolescent HealthPediatric Adolescent Medicine Physician Johnson City, NY NPI 1619923752
- David Channing Carter, MDPediatrics Physician Johnson City, NY NPI 1447414255
- Runak Patel, MDPediatrics Physician Johnson City, NY NPI 1174942411
- William Miller, MDPediatric Adolescent Medicine Physician Johnson City, NY NPI 1336122563
About NPI 1336632587
Andrea M. Shaul, CPNP's National Provider Identifier is 1336632587, issued on Jun 12, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Johnson City, NY. The record was last updated on Nov 12, 2024.