NPI 1932484052 · live from the CMS NPI Registry
Katherine Elizabeth Shattuck, CPNP
Nurse Practitioner, Pediatrics in Saint Albans, VT. National Provider Identifier 1932484052, active.
NPI record
| NPI | 1932484052 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 133 Fairfield St, Saint Albans, VT 05478 |
| Practice phone | 802-524-1040 |
| Enumerated | October 20, 2011 |
| Last updated | February 13, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 201600990NP-PP (OR) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 101.0135088 (VT) |
| Registered Nurse | 163W00000X | 201600885RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.