MEDICARE: DEBRA KAY SHAFFER NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0024166274	VA

General Provider Information

NPI Number	:	1336149830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA KAY SHAFFER NP-C

Provider Business Mailing Address
First Line	:	8 RADFORD ST
Second Line	:	STE 202
City	:	CHRISTIANSBURG
State	:	VA
Zip	:	24073-3341
Country	:	US
Telephone Number	:	540-381-2425
Fax Number	:

Provider Business Practice Location Address
First Line	:	LEE STREET
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22908-0001
Country	:	US
Telephone Number	:	434-924-0433
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	02/08/2017

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