Individual provider · Type 1 NPI

Katie Evelyn Shull, ARNP

Nurse Practitioner · Dakota Dunes, SD

NPI number 1417674482 Active

Practice location

330 Dakota Dunes Blvd Ste 400
Dakota Dunes, SD 57049-5462

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000XA163550 (IA)
Nurse Practitioner Primary 363L00000XA163550 (IA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1417674482

Katie Evelyn Shull, ARNP's National Provider Identifier is 1417674482, issued on Oct 20, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dakota Dunes, SD. The record was last updated on Sep 17, 2025.