Healthcare Provider Details

I. General information

NPI: 1770874125
Provider Name (Legal Business Name): MARGARET KAY SHAFFER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 JACKMAN RD
SAINT BENEDICT PA
15773-7724
US

IV. Provider business mailing address

PO BOX 85
ST BENEDICT PA
15773-0085
US

V. Phone/Fax

Practice location:
  • Phone: 814-458-1155
  • Fax: 800-958-2475
Mailing address:
  • Phone: 814-496-9418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP024869
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP011071
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP011071
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: