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Individual

MRS. STARLA S. SHIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1409 W 7TH ST, CHANUTE, KS 66720-2550
(620) 432-5580
(620) 431-7556
Mailing address
629 S PLUMMER AVE, P. O. BOX 426, CHANUTE, KS 66720-1928
(620) 432-5580
(620) 431-7556

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44772
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100316050D
KS
Enumeration date
10/10/2005
Last updated
01/31/2013
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