person
Natasha Charlyn Shafer, FNP-BC
Family Nurse Practitioner in Carbondale, Illinois
NPI 1023375409

Natasha Charlyn Shafer is a Family Nurse Practitioner based in Carbondale, IL and is specialized in Family. Natasha Charlyn Shafer practices in Carbondale, IL and has the professional credentials of FNP-BC. The NPI Number for Natasha Charlyn Shafer is 1023375409 and holds a License No. 2012006260 (Illinois).

The current practice location address for Natasha Charlyn Shafer is 1340 Cedar Ct Ste 202, Carbondale, IL and can be reached out via phone at 618-529-7821.

Location: 1340 Cedar Ct Ste 202, Carbondale, IL, 62901-5336
person
Provider Profile Details
NPI Number
1023375409
Provider Name
Natasha Charlyn Shafer
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1340 Cedar Ct Ste 202, Carbondale, IL, 62901-5336
Phone Number
618-529-7821
Fax Number
Provider Enumeration Date
04/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209010067 01 IL DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
3903223660 01 THE FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION
2012001998 01 AMERICAN NURSES CREDENTIALING CENTER
institution
Provider Business Practice Location Address Details
Address
1340 Cedar Ct Ste 202
City
State
Zip
62901
Phone Number
618-529-7821
Fax Number
person
Provider Business Mailing Address Details
Address
1340 Cedar Ct Ste 202
City
State
Zip
62901
Phone Number
618-529-7821
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2012006260 (Missouri)
Definition
Definition to come...
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