Individual provider · Type 1 NPI
Shirley Elder
Family Nurse Practitioner · Knoxville, TN
NPI number
1811134646
Active
Practice location
2400 Broadway St
Knoxville, TN 37917-4627
Mailing address
4165 30th Ave S, Suite 101
Fargo, ND 58104-8419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APN0000008100 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1811134646
Shirley Elder's National Provider Identifier is 1811134646, issued on Jan 15, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Knoxville, TN. The record was last updated on Jan 15, 2009.