Mary Teresa Shinn in Fayetteville - Geriatric Medicine

Mary Teresa Shinn - NPI 1912957820

Mary Teresa Shinn is a Geriatric Medicine in Fayetteville, Arkansas. Mary Teresa Shinn practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Mary Teresa Shinn is 1912957820. The last update date is 2011-04-25.

Mary Teresa Shinn's current location address is 12 E Appleby Rd, Fayetteville, Arkansas. You can contact this provider via phone number 4794634444 and fax number 4794634499. The mailing address for Mary Teresa Shinn is 12 E Appleby Rd, Fayetteville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Teresa Shinn
Address 12 E Appleby Rd, Fayetteville, Arkansas
Phone Number 4794634444
Fax Number 4794634499
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1912957820
Provider Enumeration Date 2006-05-11
Last Updated Date 2011-04-25

Provider Mailing Address Detail

Address 12 E Appleby Rd
City Fayetteville
State Arkansas (AR)
Post Code 727033901
Phone Number 4794634444
Fax Number 4794634499

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Rg0300X
Licence No E2219
Definition:
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5L297 AR BLUE
138361001 AR --

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FAQs about Mary Teresa Shinn

What is the unique identifier code issued to Mary Teresa Shinn by the Centers for Medicare & Medicaid Services (CMS)?

The Mary Teresa Shinn has been assigned the NPI (National Provider Identifier) 1912957820. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Mary Teresa Shinn?

The Mary Teresa Shinn is physically situated at 12 E Appleby Rd, in the city of Fayetteville, state of AR, with the postal code 727033901.

What is Mary Teresa Shinn's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mary Teresa Shinn is Geriatric Medicine, and the taxonomy code that categorizes this field of expertise is 207Rg0300X.

On what date did Mary Teresa Shinn receive its 1912957820 assignment from the Centers for Medicare & Medicaid Services?

The Mary Teresa Shinn was assigned its 1912957820 on 2006-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Mary Teresa Shinn most recently updated or revised?

The details related to Mary Teresa Shinn, including its address, specialty, and other relevant information, were last updated or revised on 2011-04-25.

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