Individual
PATRICIA SHUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
133 PLEASANT ST, BERLIN, NH 03570-2006
(603) 752-2040
(603) 752-7797
Mailing address
133 PLEASANT ST, BERLIN, NH 03570-2006
(603) 752-2040
(603) 752-7797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0388672301
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0388672301
STATE LICENSE #
NH
01
—
1600919
CIGNA HEALTHCARE
NH
01
—
2300984YPNH01
ANTHEM BC/BS
NH
05
—
30006937
—
NH
05
—
3071675
—
NH
01
—
5830418
AETNA GROUP
—
Enumeration date
08/11/2005
Last updated
03/07/2023
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