Individual
MARTHA ELLEN SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 NORTH ST STE 101, GENEVA, NY 14456-1561
(315) 787-5155
(315) 787-5108
Mailing address
200 NORTH ST STE 101, GENEVA, NY 14456-1561
(315) 787-5155
(315) 787-5108
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
572714-01
NY
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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