Individual
MISS ALYSSA LYNN SHUMWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1817 TURK HILL RD, FAIRPORT, NY 14450-9502
(585) 993-5029
Mailing address
1817 TURK HILL RD, FAIRPORT, NY 14450-9502
(585) 993-5029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
653248
NY
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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