MEDICARE: SHELBY DEUEL RN BSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	730519	NY

General Provider Information

NPI Number	:	1225678550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY DEUEL RN BSN

Provider Business Mailing Address
First Line	:	306 HIGHLAND AVE APT 1
Second Line	:
City	:	EAST SYRACUSE
State	:	NY
Zip	:	13057-2171
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 W GENESEE ST STE 132
Second Line	:
City	:	CAMILLUS
State	:	NY
Zip	:	13031-3212
Country	:	US
Telephone Number	:	315-362-2540
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2020
Last Update Date	:	01/15/2020

Similar Medicare Providers

1134122096 — MARK S POTENZA MD
Practice Location Address:

5700 W GENESEE ST , STE 132
CAMILLUS, NY
13031-3212

Practice Phone: 315-487-5858
Practice Fax: 315-487-1950

1083267959 — COMPASSIONATE PSYCHIATRIC NP CARE PLLC
Practice Location Address:

5700 W GENESEE ST STE 132
CAMILLUS, NY
13031-3212

Practice Phone: 315-362-2540
Practice Fax: 315-671-1786

1740896869 — C. ANITA STEWART BS
Practice Location Address:

5700 W GENESEE ST STE 132
CAMILLUS, NY
13031-3212

Practice Phone: 315-362-2540
Practice Fax: 315-671-1786

1154032456 — FOCUS VISION DEVELOPMENT OPTOMETRY PLLC
Practice Location Address:

240 TOWNSHIP BLVD STE 60
CAMILLUS, NY
13031-1793

Practice Phone: 315-660-3550
Practice Fax:

1003819053 — THOMAS J LACLAIR MD
Practice Location Address:

436 HINSDALE RD
CAMILLUS, NY
13031-1648

Practice Phone: 315-488-0996
Practice Fax: 315-488-1955

1114920287 — DAVID THURBER PAGE MD
Practice Location Address:

436 HINSDALE RD
CAMILLUS, NY
13031-1648

Practice Phone: 315-488-0996
Practice Fax: 315-488-1955

Directions to “ SHELBY DEUEL RN BSN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.