Individual
SHANELLE NICOLETTE PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
308 N MAPLE AVE, NEW HAMPTON, IA 50659-1142
(641) 394-2151
(641) 394-1999
Mailing address
308 N MAPLE AVE, NEW HAMPTON, IA 50659-1142
(641) 394-2151
(641) 394-1999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A132210
IA
Other
Enumeration date
08/24/2015
Last updated
09/27/2016
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