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Individual
MRS. KAITLAND NICOLE SHUSTER
Active
Individual
MRS. KAITLAND NICOLE SHUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP017829
PA
363LF0000X
Family Nurse Practitioner
RN655082
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027687
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015083500027
—
PA
01
—
002023534
HIGHMARK BLUE SHIELD
PA
01
—
710929
MEDICARE
PA
01
—
CI6140
RAILROAD MEDICARE
PA
Enumeration date
07/11/2017
Last updated
01/14/2025
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