Individual
MR. SHARLA DENISE SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 ANDREW AVE., FORT RUCKER, AL 36362
(334) 255-7894
Mailing address
214 SHULSEN DRIVE, OZARK, AL 36360
(334) 774-1414
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN3004912
FL
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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