Penelope Shields
Nurse Practitioner Nurse Practitioner - Psychiatric/Mental Health
1005 Health Center Dr Ste 102
Mattoon
, Illinois 61938-4693
Penelope Shields
Nurse Practitioner Nurse Practitioner - Psychiatric/Mental Health
1005 Health Center Dr Ste 102
Mattoon
, Illinois 61938-4693
(217) 258-2216
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Penelope Shields
- 1005 Health Center Dr Ste 201
- Mattoon, IL
- Zip : 61938-4693
- Fax : (217) 258-2216
- Phone : (217) 238-6055
Second Address
- Penelope Shields
- 1005 Health Center Dr Ste 102
- Mattoon, IL
- Zip : 61938-4693
- Fax : (217) 258-4053
- Phone : (217) 258-4042
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FAQs
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What type of doctor is Penelope Shields
In what state does Penelope Shields practice in?
Where is Penelope Shields ’s practice located?
What is Penelope Shields ’s gender?
Is Penelope Shields a sole practitioner?
Is Penelope Shields accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 209012444 | IL |
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 209-012444 | IL |
National Provider Identifier
| NPI | 1033508478 |
|---|---|
| Provider Name | Penelope Shields |
| First Address | Mattoon, IL 61938-4693 |
| Second Address | Mattoon, IL 61938-4693 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2015 |
| Last Update Date | 30/12/2020 |
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.