Individual provider · Type 1 NPI
Katherine Elizabeth Shattuck, CPNP
Pediatric Nurse Practitioner · St. Albans, VT
NPI number
1932484052
Active
Practice location
133 Fairfield St
St. Albans, VT 05478-1726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 201600990NP-PP (OR) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 101.0135088 (VT) |
| Registered Nurse | 163W00000X | 201600885RN (OR) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1932484052
Katherine Elizabeth Shattuck, CPNP's National Provider Identifier is 1932484052, issued on Oct 20, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Albans, VT. The record was last updated on Feb 13, 2023.