Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
NICOLE CHRISTINE SHATTUCK
Active
Individual
NICOLE CHRISTINE SHATTUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A16609
CA
207P00000X
Emergency Medicine Physician
OS14010
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS14010
STATE LICENSE
FL
Enumeration date
04/02/2012
Last updated
09/06/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up