Individual
ANASTASIYA SHELESTOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
139 CONHOCTON ST, CORNING, NY 14830-2945
(347) 781-7534
Mailing address
139 CONHOCTON ST, CORNING, NY 14830-2945
(347) 781-7534
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
682734
NY
363LG0600X
Gerontology Nurse Practitioner
AG11220119
NY
Other
Enumeration date
10/15/2014
Last updated
07/24/2024
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