Individual
NATHAN SHAPPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3460
(504) 837-9271
Mailing address
2350 SCHILLINGER RD S, MOBILE, AL 36695-4177
(251) 445-7614
(251) 410-6127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
200809
LA
363A00000X
Physician Assistant
Primary
916
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05005851
—
MS
05
—
2400487
—
LA
Enumeration date
10/09/2013
Last updated
11/09/2015
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