Individual
MR. GORDON SCOTT SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C, OPA-C, CSA
Contact information
Practice address
116 E DIVISION RD, OAK RIDGE, TN 37830-6906
(865) 483-3904
Mailing address
PO BOX 235, BRICEVILLE, TN 37710-0235
(865) 426-9728
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
23329
TN
363LF0000X
Family Nurse Practitioner
Primary
23329
TN
Other
Enumeration date
01/25/2007
Last updated
03/21/2019
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