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Ms. Shannon Blume-kesselring, NP
Pediatric Nurse Practitioner in New Hartford, New York
NPI 1700893914

Shannon Blume-kesselring is a Pediatric Nurse Practitioner based in New Hartford, NY and is specialized in Pediatrics. Shannon Blume-kesselring practices in New Hartford, NY and has the professional credentials of NP. The NPI Number for Shannon Blume-kesselring is 1700893914 and holds a License No. 4918541 (New York).

The current practice location address for Shannon Blume-kesselring is 86 Genesee Street, New Hartford, NY and can be reached out via phone at 315-732-7909 and via fax at 315-793-9307.

Location: 86 Genesee Street, New Hartford, NY, 13413
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Provider Profile Details
NPI Number
1700893914
Provider Name
Shannon Blume-kesselring
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
86 Genesee Street, New Hartford, NY, 13413
Phone Number
315-732-7909
Fax Number
315-793-9307
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02254557 05 NY
02996981 05 NY
02873201 05 NY
institution
Provider Business Practice Location Address Details
Address
86 Genesee Street
City
State
Zip
13413
Phone Number
315-732-7909
Fax Number
315-793-9307
person
Provider Business Mailing Address Details
Address
86 Genesee Street
City
State
Zip
13413
Phone Number
315-732-7909
Fax Number
315-793-9307
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
F333382 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
4918541 (New York)
Definition
Definition to come...
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