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Individual

MR. NATHAN E SHIPLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2338 ALTON RD., PORT CHARLOTTE, FL 33952
(941) 268-9821
Mailing address
2338 ALTON RD., PORT CHARLOTTE, FL 33952
(941) 268-9821

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
FL
372600000X
Adult Companion
FL
374U00000X
Home Health Aide
FL
376G00000X
Nursing Home Administrator
FL
376K00000X
Nurse's Aide
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
#553509
ATN
05
ATN#553509
FL
Enumeration date
06/23/2014
Last updated
06/23/2014
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