Individual
MRS. CYNTHIA FERNANDEZ SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9309 APISON PIKE, OOLTEWAH, TN 37363-4340
(423) 778-9701
(423) 778-9713
Mailing address
PO BOX 891, COLLEGEDALE, TN 37315-0891
(423) 778-9701
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
APN5567
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5567
APN LICENSE
TN
Enumeration date
05/23/2005
Last updated
02/20/2014
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