Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shenandoah Putney Dole, AGPCNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1861089039

Shenandoah Putney Dole, AGPCNP-C is a Nurse Practitioner in Warsaw, New York. Qualified in 2020, 6 years ago. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020

Practice location Address checks out

81 S Main St
Warsaw, NY 14569-1571
Phone: (585) 228-1195
Fax: (585) 185-2067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F310068 (NY)

Record details

NPI number1861089039
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-C
Sole proprietorNo
NPI enumeratedDecember 22, 2020
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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