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JOHANNAH SHORTLE
Nurse Practitioner
NPI: 1336664655IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
341858(NY)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Class of 2017
Contact & Hours
- Address
- 4435 SENECA RD
TRUMANSBURG, NY 14886 - Phone
- (607) 387-5707
Quick Facts
- NPI
- 1336664655
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 9
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