National Provider Identifier
Shenandoah Putney Dole, AGPCNP-C
Shenandoah Putney Dole, AGPCNP-C is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Warsaw, NY and a listed phone number of (585) 228-1195.
Profile Overview
- NPI
- 1861089039
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- December 22, 2020
- Last Updated
- March 22, 2023
Practice Location
- 81 S Main St
- Warsaw, NY 14569-1571
Phone: (585) 228-1195
Mailing Address
- 4247 Silver Springs RD
- Silver Springs, NY 14550-9702
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Endpoints
- EPIC
Connect Url | Warsaw, NY 14569
Full Record
- NPI
- 1861089039
- Entity Type
- Individual
- Last Name
- Dole
- First Name
- Shenandoah
- Middle Name
- Putney
- Credential
- AGPCNP-C
- Mailing Street Address
- 4247 Silver Springs RD
- Mailing City
- Silver Springs
- Mailing State
- NY
- Mailing ZIP Code
- 14550-9702
- Mailing Country
- US
- Mailing Phone
- (585) 519-2859
- Practice Street Address
- 81 S Main St
- Practice City
- Warsaw
- Practice State
- NY
- Practice ZIP Code
- 14569-1571
- Practice Country
- US
- Practice Phone
- (585) 228-1195
- Practice Fax
- (585) 185-2067
- Enumeration Date
- December 22, 2020
- Last Updated
- March 22, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 22, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)