Healthcare Provider Details

I. General information

NPI: 1083909964
Provider Name (Legal Business Name): VALERIE ANGELA SHAFFER C.P.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIE ANGELA ATKINSON C.P.N.P.

II. Dates (important events)

Enumeration Date: 06/18/2011
Last Update Date: 03/23/2022
Certification Date: 03/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 CHILDRENS WAY
NASHVILLE TN
37232-0005
US

IV. Provider business mailing address

3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-1000
  • Fax:
Mailing address:
  • Phone: 615-936-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License Number16969
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberAPN001272
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: