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General NPI Number Information
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NPI Number | 1770874125
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Entity Type | Individual
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Provider Name | MARGARET KAY SHAFFER CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 204 S MAIN ST STE 200
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City | CARROLLTOWN
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State | PA
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Zip | 15722-7210
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Country | US
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Telephone | 814-458-1155
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Fax | 800-958-2475
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Provider Business Mailing Address
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Address Line | PO BOX 85
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City | ST BENEDICT
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State | PA
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Zip | 15773-0085
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Country | US
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Telephone | 814-496-9418
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP011071
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP011071
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP024869
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License Number State | PA
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