Individual
COURTNEY ELIZABETH SHUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
103 RT 276, CHAMPLAIN, NY 12919
(518) 298-8638
(518) 298-2873
Mailing address
103 RT 276, CHAMPLAIN, NY 12919
(518) 298-8638
(518) 298-2873
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
619075
NY
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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