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Mrs. Shana L Carter, MSAPRN
Family Nurse Practitioner in Maywood, Illinois
NPI 1124190590

Shana L Carter is a Family Nurse Practitioner based in Kalispell, IL and is specialized in Family. Shana L Carter practices in Maywood, IL and has the professional credentials of MSAPRN. The NPI Number for Shana L Carter is 1124190590 and holds a License No. 110580 (Illinois).

The current practice location address for Shana L Carter is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-9000.

Location: 2160 S 1St Ave, Maywood, IL, 59901-3129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124190590
Provider Name
Shana L Carter
Credential
MSAPRN
Provider Entity Type
Individual
Gender
Female
Address
2160 S 1St Ave, Maywood, IL, 59901-3129
Phone Number
708-216-9000
Fax Number
Provider Enumeration Date
11/14/2006
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-9000
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
110580 (Nebraska)
Definition
Definition to come...
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