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MRS. CATHLEEN ERIN SHAFFER FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1720587561

Individual Registrant:
MRS. CATHLEEN ERIN SHAFFER FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2712 WASHINGTON ST  JULIAN, CA 92036 US
Tel: 619-277-6183  Fax: --

Contact information for business:
PO BOX 1911  LAKESIDE, CA 92040-0919 US
Tel: --  Fax: --

Registration Information:
NPI: 1720587561
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA95008499

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BOARD OF REGISTERED NURSES95008499CA01




HEALTH CARE JOBS CA - Page 1



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