Individual
CHRISTINE MARIE SHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
301 WEST AVE, ALBION, NY 14411-1522
(585) 523-5619
Mailing address
1111 ELMWOOD AVE, ROCHESTER, NY 14620-3005
(585) 461-0410
(585) 461-0601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
335765
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03339508
—
NY
Enumeration date
01/29/2009
Last updated
11/14/2022
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