IndividualActive
Andrea Shaul, CPNP
NPI 1336632587 · Pediatric Nurse Practitioner · Johnson City, NY
Provider details
- NPI number
- 1336632587
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- SP017960 (PA)
Practice location
639 Main St
Johnson City, NY 13790-1805
Phone: (607) 770-1988
Fax: (607) 770-1988
Mailing address
71 Hospital Dr
Towanda, PA 18848-9702
Registry dates
- Enumerated
- 2018-06-12
- Last updated
- 2024-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.