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Mason M. Shives
Family Nurse Practitioner in Glasgow, Kentucky
NPI 1699306811

Mason M. Shives is a Family Nurse Practitioner based in Bowling Green, KY and is specialized in Family. Mason M. Shives practices in Glasgow, KY. The NPI Number for Mason M. Shives is 1699306811 and holds a License No. 3014190 (Kentucky).

The current practice location address for Mason M. Shives is 405 S L Rogers Wells Blvd, Glasgow, KY and can be reached out via phone at 270-794-0260 and via fax at 270-361-5001.

Location: 405 S L Rogers Wells Blvd, Glasgow, KY, 42101-1708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699306811
Provider Name
Mason M. Shives
Credential
Provider Entity Type
Individual
Gender
Female
Address
405 S L Rogers Wells Blvd, Glasgow, KY, 42101-1708
Phone Number
270-794-0260
Fax Number
270-361-5001
Provider Enumeration Date
01/27/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100647690 05 KY
institution
Provider Business Practice Location Address Details
Address
405 S L Rogers Wells Blvd
City
Glasgow
State
Kentucky
Zip
42141-1725
Phone Number
270-794-0260
Fax Number
270-361-5001
person
Provider Business Mailing Address Details
Address
405 S L Rogers Wells Blvd
City
Glasgow
State
Kentucky
Zip
42141-1725
Phone Number
270-794-0260
Fax Number
270-361-5001
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3014190 (Kentucky)
Definition
Definition to come...
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