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Organization
COMPASSIONATE PSYCHIATRIC NP CARE PLLC
Active
Organization
COMPASSIONATE PSYCHIATRIC NP CARE PLLC
Active
Other names
Shelly Lynn Peters
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY LYNN PETERS PMHNP-BC (OWNER/NURSE PRACTITIONER)
(315) 362-2540
Entity
Organization
Contact information
Practice address
5700 W GENESEE ST STE 132, CAMILLUS, NY 13031-3212
(315) 362-2540
(315) 671-1786
Mailing address
5700 W GENESEE ST STE 132, CAMILLUS, NY 13031-3212
(315) 362-2540
(315) 671-1786
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04532216
—
NY
01
—
1942754015
NPI TYPE 1
NY
Enumeration date
07/19/2019
Last updated
08/20/2019
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