Individual
MS. JUSTINE THERESA SHULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2365 CLINTON AVE S, STE 200, ROCHESTER, NY 14618-2663
(585) 758-5700
(585) 758-1299
Mailing address
2365 CLINTON AVE S, ROCHESTER, NY 14618-2663
(585) 758-5700
(585) 758-1299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
593687-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
307742
NY
363LF0000X
Family Nurse Practitioner
307742
NY
Other
Enumeration date
04/13/2016
Last updated
06/29/2023
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