Individual provider · Type 1 NPI
Patricia Ann Shaver, RN CNP
Gerontology Nurse Practitioner · Fort Meade, SD
NPI number
1629144902
Active
Practice location
113 Comanche Rd
Fort Meade, SD 57741-1002
Mailing address
1125 Foothills Rd
Sturgis, SD 57785-9617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | CP000265 (SD) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | CP000265 (SD) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1629144902
Patricia Ann Shaver, RN CNP's National Provider Identifier is 1629144902, issued on Nov 28, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fort Meade, SD. The record was last updated on Sep 11, 2025.