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General NPI Number Information
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NPI Number | 1497021810
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Entity Type | Individual
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Provider Name | ALFREDA SHIELDS FNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 4066 DUNNICA AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63116-3510
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Country | US
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Telephone | 636-224-1700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844715
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City | KANSAS CITY
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State | MO
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Zip | 64184-4715
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Country | US
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Telephone | 417-761-5000
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Fax | 417-761-5631
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 694307
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2020037590
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 61618369
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 222704
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License Number State | OK
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14174711-4405
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License Number State | UT
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2012001249
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License Number State | MO
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 277000588
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2052467
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License Number State | MN
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 243616
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License Number State | MT
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Taxonomy #10
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2012001249
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License Number State | MO
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10032618
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License Number State | OR
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Taxonomy #12
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 330311
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License Number State | AZ
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Taxonomy #13
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 229519
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License Number State | AK
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Taxonomy #14
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 49210
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License Number State | HI
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Taxonomy #15
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 77844
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License Number State | NM
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