Individual
KATHERINA A SHAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1414 W 4TH ST, GILLETTE, WY 82716-3328
(307) 682-6263
(307) 682-2024
Mailing address
1414 W 4TH ST, GILLETTE, WY 82716-3328
(307) 682-6263
(307) 682-2024
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
49959
WY
363LW0102X
Women's Health Nurse Practitioner
Primary
49959
WY
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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