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Contact Information

SHANE D ANDERSON, FNP-C
214 S 1ST ST
OSKALOOSA, IA52577-3105
 Phone: 641-200-1165
 Fax: 336-900-1572
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHANE D ANDERSON · (Male)

NPI # 1720523418
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 01/04/2017
Last updated 12/27/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IA License # A165967
  • ID License # 71001
  • NC License # 5009250
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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