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Individual

NANCY R. SHIREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, APRN

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3003740
KY
367A00000X
Advanced Practice Midwife
Primary
3003740
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000310590
ANTHEM
KY
01
7100053490
MEDICAID NP GROUP
KY
05
78008372
KY
Enumeration date
05/28/2006
Last updated
09/10/2014
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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