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JOHANNAH SHORTLE

Nurse Practitioner

NPI: 1336664655IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse Practitioner

Code: 363L00000X

341858(NY)

CMS Specialties

Education

STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY

Class of 2017

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Contact & Hours

Address
4435 SENECA RD
TRUMANSBURG, NY 14886

Quick Facts

NPI
1336664655
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
9

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