Individual
MRS. KATRINA SHULTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 S WEBB AVE, CROSSVILLE, TN 38555-8452
(931) 484-6196
Mailing address
PO BOX 586, PLEASANT HILL, TN 38578-0586
(931) 788-5291
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000096964
TN
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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