Kathleen Marie Shouffler
Nurse Practitioner - Psychiatric/Mental Health
500 N Bridge St
Bridgewater
, New Jersey 08807-2135
Kathleen Marie Shouffler
Nurse Practitioner - Psychiatric/Mental Health
500 N Bridge St
Bridgewater
, New Jersey 08807-2135
(908) 704-1790
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Kathleen Marie Shouffler
- 500 N Bridge St
- Bridgewater, NJ
- Zip : 08807-2135
- Fax : (908) 704-1790
- Phone : (908) 725-2800
Second Address
- Kathleen Marie Shouffler
- 500 N Bridge St
- Bridgewater, NJ
- Zip : 08807-2135
- Fax : (908) 704-1790
- Phone : (908) 725-2800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | NC70493 | NJ |
National Provider Identifier
| NPI | 1023106481 |
|---|---|
| Provider Name | Kathleen Marie Shouffler |
| First Address | Bridgewater, NJ 08807-2135 |
| Second Address | Bridgewater, NJ 08807-2135 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2006 |
| Last Update Date | 20/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0023701 | (05) | NJ |
| 068308BVE | (02) | NJ |
| 527486 | AGENCY PTAN (01) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.