Karen Lee Shidler in Logansport - Diabetes Educator

Karen Lee Shidler - NPI 1417169392

Karen Lee Shidler is a Diabetes Educator in Logansport, Indiana. Karen Lee Shidler practices all healthcare services and medical treatments related to Diabetes Educator. The NPI Number for Karen Lee Shidler is 1417169392. The last update date is 2007-07-08.

Karen Lee Shidler's current location address is 1101 Michigan Ave, Logansport, Indiana. You can contact this provider via phone number 5747531767 and fax number 5747531410. The mailing address for Karen Lee Shidler is 1101 Michigan Ave, Logansport, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Karen Lee Shidler
Address 1101 Michigan Ave, Logansport, Indiana
Phone Number 5747531767
Fax Number 5747531410
Sole Proprietor N
Credentials R.N., B.S.

NPI Number Detail

NPI Number 1417169392
Provider Enumeration Date 2007-05-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1101 Michigan Ave
City Logansport
State Indiana (IN)
Post Code 469471528
Phone Number 5747531767
Fax Number 5747531410

Provider's Primary Taxonomy Detail

Speciality Diabetes Educator
Taxonomy 163Wd0400X
Licence No 28076852A
Definition:
A registered nurse who teaches diabetes self-management skills.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200220390A IN --

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FAQs about Karen Lee Shidler

What is the unique 10-digit identification code assigned to Karen Lee Shidler by the Centers for Medicare & Medicaid Services?

The Karen Lee Shidler has been issued the NPI (National Provider Identifier) 1417169392, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Karen Lee Shidler?

The Karen Lee Shidler is situated at 1101 Michigan Ave, in the city of Logansport, state of IN, with the zip code 469471528.

What is the area of specialization for Karen Lee Shidler, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Karen Lee Shidler is Diabetes Educator, and the corresponding taxonomy code that categorizes this area of expertise is 163Wd0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1417169392 to Karen Lee Shidler?

The Centers for Medicare & Medicaid Services originally issued the 1417169392 to Karen Lee Shidler on 2007-05-04.

When was the information related to Karen Lee Shidler most recently updated or refreshed?

The details pertaining to the Karen Lee Shidler, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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