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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREA M SHAUL, CPNP

Active

ANDREA M SHAUL, CPNP is a Pediatric Nurse Practitioner healthcare provider located in JOHNSON CITY, New York. NPI 1336632587 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · JOHNSON CITY, NY

Registration Details

NPI Number
1336632587
Provider Type
Individual
Gender
Female
NPI Issued
Jun 12, 2018 (8.1916367758508 yrs)
Last Updated
Nov 12, 2024
Licenses
SP017960 (PA)
F382793-1 (NY)

Practice Information

Address
639 MAIN ST
JOHNSON CITY, NY, 137901805
Browse NY providers · Browse ZIP 13790
Phone
6077701988
Fax
6077701988
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.