Individual
SHAWNA BUSSEY-DEANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1585 MILITARY TURN PIKE, PLATTSBURGH, NY 12901-0455
(518) 561-0100
(518) 561-2390
Mailing address
P.O. BOX 455, PLATTSBURGH, NY 12901-0455
(518) 561-0100
(518) 561-2390
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22-686281
NY
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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