Individual
BRITTANY MARIE SHORETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 4TH ST, MALONE, NY 12953-1340
(518) 481-8160
(518) 481-8161
Mailing address
15 4TH ST, MALONE, NY 12953-1340
(518) 481-8160
(518) 481-8161
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
603650
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
603650
PROFESSION LICENSE
NY
Enumeration date
09/06/2022
Last updated
09/06/2022
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