KRISTY DAWN SHAFER

DECATUR, IL
NPI1306314778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.017731)
Enumeration Date2018-11-05
Last Update Date2022-01-05
Business Address
KRISTY DAWN SHAFER NP
1730 E LAKE SHORE DR
DECATUR, IL 62521-3809
Phone number: 217-329-1000
Mailing Address
KRISTY DAWN SHAFER NP
1770 E LAKE SHORE DR STE 105
DECATUR, IL 62521-3800
Phone number: 217-329-1034
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