IndividualActive
Katherina Shahan, NP-C
NPI 1073219895 · Women's Health Nurse Practitioner · Gillette, WY
Provider details
- NPI number
- 1073219895
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 49959 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Practice location
1414 W 4th St
Gillette, WY 82716-3328
Phone: (307) 682-6263
Fax: (307) 682-2024
Approximate (ZIP-level) locationGet directions
Mailing address
1414 W 4th St
Gillette, WY 82716-3328
Registry dates
- Enumerated
- 2023-02-02
- Last updated
- 2023-02-02
- Certified
- 2023-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.