Anderson, Shane David
Anderson, Shane David is an individual health care provider with primary practice located at 214 S 1St St , Oskaloosa IA 52577-3105. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Anderson, Shane David can be contacted via phone (641) 200-1165.Contact Information
Primary practice address
214 S 1St St
Oskaloosa IA 52577-3105
Phone: (641) 200-1165
Fax: (336) 900-1572
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5009250 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71001 | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5009250 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | A165967 | Iowa |
Profile Details
NPI number | 1720523418 |
---|---|
LBN Legal business name | Anderson, Shane David |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 4th, 2017 |
Last updated | Dec 27th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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