Individual
KAROLE M SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
201 FREY ST, NEWARK, NY 14513
(315) 331-4344
(315) 331-1211
Mailing address
201 FREY ST, NEWARK, NY 14513
(315) 331-4344
(315) 331-1211
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F4302391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153752B0
PREFERRED CARE
—
01
—
P019430239
EXCELLUS BLUE CHOICE
—
Enumeration date
11/08/2006
Last updated
11/25/2009
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