Maureen Patrice Shifflett CPNP

NPI 1669651972 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1669651972
Gender Female
Enumeration Date 11/02/2007
Last Updated 11/02/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1140 HAMMOND DR NE
SUITE E - 5250
ATLANTA GA, 30328-5338, US
Phone (404) 256-2688
Fax (770) 685-7114
Business Location
1140 HAMMOND DR NE
SUITE E - 5250
ATLANTA GA, 30328-5338, US
Phone (404) 256-2688
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State Illinois
License Number 209006251
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According to our database, Maureen Patrice Shifflett CPNP NPI is 1669651972, taxonomy code is 363LP0200X and license number is 209006251, license state is located at Illinois. Maureen Patrice Shifflett CPNP physically located at 1140 Hammond Dr Ne, Atlanta GA, 30328-5338. NPI Number Maureen Patrice Shifflett CPNP has the Individual type.

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1669651972 NPI number is provided on an as is basis without warranty of any kind. 1669651972 is maintained by the National Plan & Provider Enumeration System. The contents of Maureen Patrice Shifflett CPNP are for informational purposes only.