MARY SHALLER ANP
NPI 1245537844
Nurse Practitioner - Adult Health in Vestal, NY

Q: What is Mary Shaller's NPI number?

The NPI number for Mary Shaller is 1245537844. It was assigned to this individual provider in the NPPES registry on February 16, 2011.

Q: What is Mary Shaller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Shaller was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 16, 2011

4102 OLD VESTAL RD, VESTAL, NY 13850(607) 798-5692 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Shaller Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY SHALLER ANP (NPI 1245537844) is an individual adult health provider in Vestal, New York, licensed in New York (300636) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1245537844

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMARY SHALLERCredential: ANP

Location Address4102 OLD VESTAL RDVestal, NY 13850-3531

Mailing Address4102 Old Vestal RdVestal, NY 13850-3531

Phone(607) 798-5692

Sole ProprietorNo

Enumeration DateFebruary 16, 2011

✔ NPI 1245537844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 300636

4102 OLD VESTAL RD, Vestal, NY 13850

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC

Hospice Care, Community Based

4102 OLD VESTAL RD
VESTAL, NY 13850

Broome County (607) 798-5692

AMY ANNE DAVIS PTA

Physical Therapy Assistant

4102 OLD VESTAL RD
VESTAL, NY 13850

Broome County (607) 727-7735

CHRISTI BULMAN

Physical Therapy Assistant

4102 OLD VESTAL RD
VESTAL, NY 13850

Broome County (607) 772-1598

OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.

Home Health

4102 OLD VESTAL RD
VESTAL, NY 13850

Broome County (607) 772-1598

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Shaller's NPI number?

The NPI number for Mary Shaller is 1245537844. It was assigned to this individual provider in the NPPES registry on February 16, 2011.

Where is Mary Shaller located?

Mary Shaller practices at 4102 Old Vestal Rd, Vestal, NY 13850. The listed phone number is (607) 798-5692.

What is Mary Shaller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mary Shaller was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.