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TIMOTHY SHADY, FNP-C

FNP-C

Nurse Practitioner

NPI: 1619406873IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

SP018240(PA)
Family Medicine Physician

Family Medicine

Code: 207Q00000X

F342441-1(NY)

CMS Specialties

Education

OTHER

Class of 2017

Contact & Hours

Address
1 GUTHRIE SQ
SAYRE, PA 18840

Quick Facts

NPI
1619406873
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
9

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