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Individual
NICOLE E SHUTTS
Active
Individual
NICOLE E SHUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2003003739
MO
363LF0000X
Family Nurse Practitioner
Primary
793067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217376701
—
TX
05
—
217376702
—
TX
05
—
217376703
—
TX
Enumeration date
04/14/2009
Last updated
09/12/2012
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