Shane Saddelmire

Registered Nurse · Ithaca, NY

Individual Active NPI

NPI number 1134574510

Practice location

110 Ho PLZ
Ithaca, NY 14853-3102
Phone
(607) 255-6106
Fax
(607) 254-3503

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NPI record

NPI
1134574510
Entity type
Individual (Type 1)
Enumeration date
May 4, 2016
Last updated
May 4, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 649922 NY

About Shane Saddelmire

Shane Saddelmire is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 110 Ho PLZ, Ithaca, NY 14853-3102. The NPI number 1134574510 was assigned on May 4, 2016 and the record was last updated on May 4, 2016.

Shane Saddelmire lists a license in the registry: #649922 (NY) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shane Saddelmire?

The NPI number is 1134574510.

What is the phone number of Shane Saddelmire?

The phone number listed for the practice location is (607) 255-6106.

Where is Shane Saddelmire located?

110 Ho PLZ, Ithaca, NY 14853-3102.

What is the taxonomy code for Shane Saddelmire?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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