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Individual

MS. THERESA SCHUETZE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
17 SOUTH ST, SHELBURNE FALLS, MA 01370-9573
(413) 625-2349
Mailing address
17 SOUTH STREET, BUCKLAND, MA 01370
(413) 625-2349

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026-0034572
VT
163W00000X
Registered Nurse
Primary
205791
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026-0034572
RN LICENSE NUMBER
VT
01
0709999
MASSHEALTH NUMBER
MA
01
205791
RN LICENSE
MA
Enumeration date
04/04/2007
Last updated
07/08/2007
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