Individual provider · Type 1 NPI
Marge E. Shaller, RPA-C
Nurse Practitioner · Endicott, NY
Practice location
1302 E Main St
Endicott, NY 13760
Mailing address
346 Grand Ave
Johnson City, NY 13790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 0039241 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1750346540
Marge E. Shaller, RPA-C's National Provider Identifier is 1750346540, issued on Apr 18, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Endicott, NY. The record was last updated on Jul 13, 2026.