Shields, Starla S.

Shields, Starla S. is an individual health care provider with primary practice located at 1409 W 7Th St , Chanute KS 66720-2550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shields, Starla S. can be contacted via phone (620) 432-5580.

Contact Information

Primary practice address
1409 W 7Th St Chanute KS 66720-2550
Phone: (620) 432-5580
Fax: (620) 431-7556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 44772 Kansas

Profile Details

NPI number 1902894397
LBN Legal business name Shields, Starla S.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jan 31st, 2013 - about 11 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 1902894397 NPPES
Kansas MEDICAID 100316050D

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