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Individual

MRS. DEBRA KAY SHOULDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
920 S HEBRON AVE, EVANSVILLE, IN 47714-4086
(812) 473-1111
(812) 485-2461
Mailing address
PO BOX 13059, BELFAST, ME 04915-4021
(812) 485-1220
(812) 485-8544

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1047342
KY
363L00000X
Nurse Practitioner
1174P
KY
363L00000X
Nurse Practitioner
Primary
71002655A
IN

Other

Enumeration date
06/01/2005
Last updated
01/16/2015
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