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MRS. KAITLAND NICOLE SHUSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
25 N THOMPSON LN STE E, NORTH HUNTINGDON, PA 15642-9305
(724) 382-4941
Mailing address
555 W NEWTON ST, GREENSBURG, PA 15601-2861
(724) 832-7045

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP017829
PA
363LF0000X
Family Nurse Practitioner
RN655082
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027687
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015083500027
PA
01
002023534
HIGHMARK BLUE SHIELD
PA
01
710929
MEDICARE
PA
01
CI6140
RAILROAD MEDICARE
PA
Enumeration date
07/11/2017
Last updated
01/14/2025
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