National Provider Identifier
Shane Saddelmire
Shane Saddelmire is listed in the NPPES registry with a primary specialty of Registered Nurse in Ithaca, NY and a listed phone number of (607) 255-6106.
Profile Overview
- NPI
- 1134574510
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- May 04, 2016
- Last Updated
- May 04, 2016
Practice Location
- 110 Ho Plz
- Ithaca, NY 14853-3102
Phone: (607) 255-6106
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1134574510
- Entity Type
- Individual
- Last Name
- Saddelmire
- First Name
- Shane
- Mailing Street Address
- 110 Ho Plz
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14853-3102
- Mailing Country
- US
- Mailing Phone
- (607) 255-6106
- Mailing Fax
- (607) 254-3503
- Practice Street Address
- 110 Ho Plz
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14853-3102
- Practice Country
- US
- Practice Phone
- (607) 255-6106
- Practice Fax
- (607) 254-3503
- Enumeration Date
- May 04, 2016
- Last Updated
- May 04, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)