Individual
LAURIE J SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1211 OLD MAIN ST, HARTFORD, KY 42347-1619
(270) 298-9507
Mailing address
1211 OLD MAIN ST, HARTFORD, KY 42347-1619
(270) 298-9507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016602
KY
Other
Enumeration date
08/31/2021
Last updated
09/17/2021
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