KANDACE SHOULTS CRNP NPI 1841383585

NPI Information

NPI: 1841383585
Provider Name: KANDACE SHOULTS, CRNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: THE BIBB COUNTY HEALTHCARE AUTHORITY

PECOS Registration: Yes

Address:
208 PIERSON AVE
CENTREVILLE, AL
ZIP 35042
Phone: (205) 926-4881
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Kandace Shoults, CRNP is an acute care nurse practitioner in Centreville, AL with 22 years of experience. Kandace Shoults, CRNP NPI is 1841383585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

208 PIERSON AVE
CENTREVILLE, AL
ZIP 35042-918
Phone: (205) 926-4881

The NPI 1841383585 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 12/3/2020.

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	363LA2100X	Nurse Practitioner	Acute Care	1-074326	ALABAMA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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