Shadle, Cathy Sue

Shadle, Cathy Sue is an individual health care provider with primary practice located at 100 N Hanover St , Carlisle PA 17013-2421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shadle, Cathy Sue can be contacted via phone (717) 218-6670.

Contact Information

Primary practice address
100 N Hanover St Carlisle PA 17013-2421
Phone: (717) 218-6670
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X VP005858B Pennsylvania

Profile Details

NPI number 1932146917
LBN Legal business name Shadle, Cathy Sue
Credentials MSN, CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932146917 NPPES
Pennsylvania MEDICAID 0019445370003

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