Individual
MS. CATHY SUE SHADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
100 N HANOVER ST, CARLISLE, PA 17013-2421
(717) 218-6670
Mailing address
1948 CLINTON AVE, CHAMBERSBURG, PA 17201-4208
(717) 264-7306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
VP005858B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019445370003
—
PA
Enumeration date
05/31/2006
Last updated
07/08/2007
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