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Individual
DR. SHANTAI MCDERMOTT
Active
Individual
DR. SHANTAI MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
100462
GU
363LA2200X
Adult Health Nurse Practitioner
198254
AK
363LA2200X
Adult Health Nurse Practitioner
ARNP9338371
FL
363LG0600X
Gerontology Nurse Practitioner
100462
GU
363LG0600X
Gerontology Nurse Practitioner
198254
AK
363LG0600X
Gerontology Nurse Practitioner
ARNP9338371
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
100462
GU
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
198254
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP9338371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1734585
—
AK
Enumeration date
11/24/2014
Last updated
02/02/2026
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