Stephanie Shellman, FNP
Nurse Practitioner, Family in Walton, NY. Individual provider (NPI-1).
NPI number1720630643
StatusActive
Last updated in NPPESNov 21, 2022
Details
- NPI
- 1720630643
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Shellman
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2019
- Certification date
- Nov 21, 2022
- Last updated
- Nov 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F344656-01 | NY | Yes |
Practice location
130 North StWalton, NY 13856-1299
Phone 607-865-6541 · Fax 607-865-9164
Mailing address
130 North StWalton, NY 13856-1299
Phone 607-865-5416 · Fax 607-865-9164
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All 14 Family Nurse Practitioner providers in Walton · All 151 providers in Walton
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