Basic Information
Provider Information
NPI: 1033757646
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHULER
FirstName: KRISTEN
MiddleName: BEASLEY
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4048 US HWY 64 ALTERNATE, SUITE 1
Address2:  
City: MURPHY
State: NC
PostalCode: 28906
CountryCode: US
TelephoneNumber: 8288378131
FaxNumber: 8289307732
Practice Location
Address1: 4048 US HWY 64 ALTERNATE, SUITE 1
Address2:  
City: MURPHY
State: NC
PostalCode: 28906
CountryCode: US
TelephoneNumber: 8288378131
FaxNumber: 8289307732
Other Information
ProviderEnumerationDate: 12/13/2019
LastUpdateDate: 12/13/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/13/2019

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X5012610NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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