Individual
MRS. BRENDA SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN139907
GA
363LN0000X
Neonatal Nurse Practitioner
Primary
RN139907
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
713532283A
—
GA
05
—
713532283B
—
GA
05
—
713532283C
—
GA
Enumeration date
07/14/2005
Last updated
07/26/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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