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Individual
KIMBERLY ANN SHAFER
Active
Individual
KIMBERLY ANN SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., F.N.P.-B.C.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
578393
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167375801
—
TX
01
—
NP7140
BCBS TX
TX
Enumeration date
08/09/2005
Last updated
07/02/2008
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