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Individual
MRS. MARY GLENN SHUART
Active
Individual
MRS. MARY GLENN SHUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN560645
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP010760
PA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
26NJ00137900
NJ
Other
Enumeration date
01/08/2007
Last updated
09/22/2010
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