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NPI Code Detail

MEDICARE: PATRICIA SHUTE ARNP

MEDICARE: PATRICIA SHUTE ARNP
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
1363LF0000XFamily Nurse Practitioner0388672301NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12300984YPNH01OTHERNHANTHEM BC/BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30388672301OTHERNHSTATE LICENSE #
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
51600919OTHERNHCIGNA HEALTHCARE
65830418OTHERAETNA GROUP

General Provider Information

NPI Number : 1336141225
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA SHUTE ARNP
Provider Business Mailing Address
First Line : 133 PLEASANT ST
Second Line :
City : BERLIN
State : NH
Zip : 03570-2006
Country : US
Telephone Number : 603-752-2040
Fax Number : 603-752-7797
Provider Business Practice Location Address
First Line : 133 PLEASANT ST
Second Line :
City : BERLIN
State : NH
Zip : 03570-2006
Country : US
Telephone Number : 603-752-2040
Fax Number : 603-752-7797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 03/07/2023

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