Charlene Shallow in Springfield - Nurse Practitioner
Charlene Shallow - NPI 1295819688
Charlene Shallow is a Nurse Practitioner in Springfield, Illinois. Charlene Shallow practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Charlene Shallow is 1295819688. The last update date is 2022-02-03.
Charlene Shallow's current location address is 201 E Madison St Ste 328, Springfield, Illinois. You can contact this provider via phone number 2175458000. The mailing address for Charlene Shallow is 201 E Madison St Ste 328, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlene Shallow |
|---|---|
| Address | 201 E Madison St Ste 328, Springfield, Illinois |
| Phone Number | 2175458000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1295819688 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2022-02-03 |
Provider Mailing Address Detail
| Address | 201 E Madison St Ste 328 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627025131 |
| Phone Number | 2175458000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209005660 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code issued to Charlene Shallow by the Centers for Medicare & Medicaid Services?
The Charlene Shallow has been assigned the NPI (National Provider Identifier) 1295819688 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Charlene Shallow's facilities are geographically located?
The facilities of Charlene Shallow are physically situated at the following location: 201 E Madison St Ste 328, Springfield, IL, 627025131.
What is Charlene Shallow's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charlene Shallow's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
When was the Charlene Shallow's 1295819688 issued?
The Charlene Shallow's 1295819688 was issued on 2006-10-24.
When was the information pertaining to Charlene Shallow most recently updated or revised?
The details related to Charlene Shallow, including its address, specialty, and other relevant information, were last updated or revised on 2022-02-03.
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