JUDY-LYNN SHAFER APRN NPI 1396848487

NPI Information

NPI: 1396848487
Provider Name: JUDY-LYNN SHAFER, APRN
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Address:
491 GOLD STAR HWY
GROTON, CT
ZIP 06340
Phone: (860) 445-5107
Get Directions

Judy-lynn Shafer, APRN is an obstetrics and gynecology nurse practitioner in Groton, CT. Judy-lynn Shafer, APRN NPI is 1396848487. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

491 GOLD STAR HWY
GROTON, CT
ZIP 06340
Phone: (860) 445-5107
Fax: (860) 448-1368

The enumeration date for this NPI number is 9/6/2006 and was last updated on 4/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	002332	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004209260	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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