Doctor Name: | SHANELLE NICOLETTE KAHRS |
NPI Number: | 1205203528 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | A132210 |
Business Practice Address: | 1624 S Grand Ave Charles City, IA - 506163653 |
Business Phone Number: | 6412285555 |
Business Fax Number: | 6412285566 |
Mailing Address: | 621 S Illinois Ave, Suite 103 MASON CITY |
State: | IA |
Postal Code: | 504015489 |
Phone Number: | 6414283041 |
Fax Number: | 6414283059 |
NPI Enumeration Date: | 08/24/2015 |
NPI Last Update Date: | 09/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A132210 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |