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NPI Code Detail

MEDICARE: BRENDA M SHAFER ARNP, NNP-BC

MEDICARE: BRENDA M SHAFER ARNP, NNP-BC
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
1363LN0005XCritical Care Neonatal Nurse PractitionerK101615IA
2363LN0005XCritical Care Neonatal Nurse Practitioner101615KIA

General Provider Information

NPI Number : 1689819500
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA M SHAFER ARNP, NNP-BC
Provider Business Mailing Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 319-356-2296
Fax Number : 319-356-4855
Provider Business Practice Location Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 319-356-2296
Fax Number : 319-356-4855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2008
Last Update Date : 03/23/2021

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