KELLY SHUTTERA NPI 1356088264

NPI Information

NPI: 1356088264
Provider Name: KELLY SHUTTERA
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
100 N MAIN ST
CHATTAHOOCHEE, FL
ZIP 32324
Phone: (850) 663-7001
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Kelly Shuttera is a psychiatric/mental health nurse practitioner in Chattahoochee, FL. Kelly Shuttera NPI is 1356088264. 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:

100 N MAIN ST
CHATTAHOOCHEE, FL
ZIP 32324-107
Phone: (850) 663-7001

The enumeration date for this NPI number is 5/13/2022 and was last updated on 5/13/2022.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	110119463	FLORIDA	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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