Individual
KRISTINE RANAE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1680 DIAGONAL RD, WORTHINGTON, MN 56187-1008
(507) 372-3800
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9515
MN
363LF0000X
Family Nurse Practitioner
A165927
IA
Other
Enumeration date
01/27/2022
Last updated
02/28/2023
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