Individual
MS. KATHRYN B. SHUNNARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
107 LONGWOOD AVE, ROCKLEDGE, FL 32955
(321) 636-2111
(321) 636-7180
Mailing address
PO BOX 534595, ATLANTA, GA 30353-4595
(321) 636-2111
(321) 636-7180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4224S
KY
363L00000X
Nurse Practitioner
Primary
ARNP9387289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4224S
KY LICENSE
KY
01
—
ARNP9387289
ARNP LICENSE
FL
Enumeration date
12/14/2006
Last updated
01/07/2019
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