Individual
SHELLIE R KRATZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2813 INDUSTRIAL PARK RD, MIFFLINTOWN, PA 17059-9078
(717) 436-8283
(717) 436-8351
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN627395
PA
363L00000X
Nurse Practitioner
024625
PA
363L00000X
Nurse Practitioner
Primary
SP015565
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031720750001
—
PA
01
—
462444F6K
MEDICARE
PA
Enumeration date
10/19/2015
Last updated
04/26/2022
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