person
Ann Shattuck, APRN
Gerontology Nurse Practitioner in North Charleston, South Carolina
NPI 1417566936

Ann Shattuck is a Gerontology Nurse Practitioner based in Charlotte, SC and is specialized in Gerontology. Ann Shattuck practices in North Charleston, SC and has the professional credentials of APRN. The NPI Number for Ann Shattuck is 1417566936 and holds a License No. 24125 (South Carolina).

The current practice location address for Ann Shattuck is 2910 Tricom St Ste 100, North Charleston, SC and can be reached out via phone at 843-572-9211 and via fax at 843-572-0457.

Location: 2910 Tricom St Ste 100, North Charleston, SC, 28275-1874
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Provider Profile Details
NPI Number
1417566936
Provider Name
Ann Shattuck
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2910 Tricom St Ste 100, North Charleston, SC, 28275-1874
Phone Number
843-572-9211
Fax Number
843-572-0457
Provider Enumeration Date
07/30/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP6971 05 SC
institution
Provider Business Practice Location Address Details
Address
2910 Tricom St Ste 100
City
State
Zip
29406-9351
Phone Number
843-572-9211
Fax Number
843-572-0457
person
Provider Business Mailing Address Details
Address
2910 Tricom St Ste 100
City
State
Zip
29406-9351
Phone Number
843-572-9211
Fax Number
843-572-0457
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
24125 (South Carolina)
Definition
Definition to come...
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