| NPI | 1063283869 |
|---|---|
| Other Name | KATELYN VIRGINIA SHOWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 38987) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000244972) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2026-01-14 |