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Individual
MRS. KATHERINE ELIZABETH SHATTUCK
Active
Individual
MRS. KATHERINE ELIZABETH SHATTUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201600885RN
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
101.0135088
VT
363LP0200X
Pediatric Nurse Practitioner
201600990NP-PP
OR
Other
Enumeration date
10/20/2011
Last updated
02/13/2023
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