Shattuck, Katherine Elizabeth

Shattuck, Katherine Elizabeth is an individual health care provider with primary practice located at 133 Fairfield St , Saint Albans VT 05478-1726. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Shattuck, Katherine Elizabeth can be contacted via phone (802) 524-1040.

Contact Information

Primary practice address
133 Fairfield St Saint Albans VT 05478-1726
Phone: (802) 524-1040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 201600990NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 101.0135088 Vermont
Nursing Service Providers / Registered Nurse 163W00000X 201600885RN Oregon

Profile Details

NPI number 1932484052
LBN Legal business name Shattuck, Katherine Elizabeth
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2011
Last updated Feb 13th, 2023 - about last year

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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