Individual
MRS. ANGELA MARIE SHATTUCK
Active
Individual
MRS. ANGELA MARIE SHATTUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
9220178
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
9220178
FL
Other
Enumeration date
08/12/2010
Last updated
03/02/2016
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