Individual provider · Type 1 NPI

Shalini Gates, CPNP

Pediatric Nurse Practitioner · Conway, SC

NPI number 1609106392 Active

Practice location

1608 Main St
Conway, SC 29526-3572

Mailing address

543 Rosings Dr
Summerville, SC 29483-7774

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X3933 (SC)
Pediatric Nurse Practitioner 363LP0200X209007780 (IL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1609106392

Shalini Gates, CPNP's National Provider Identifier is 1609106392, issued on Jan 3, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Conway, SC. The record was last updated on Jan 3, 2010.