IndividualActive
Katherine Shattuck, CPNP
NPI 1932484052 · Pediatric Nurse Practitioner · Saint Albans, VT
Provider details
- NPI number
- 1932484052
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 201600990NP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
133 Fairfield St
Saint Albans, VT 05478-1726
Phone: (802) 524-1040
Approximate (ZIP-level) locationGet directions
Mailing address
133 Fairfield St
Saint Albans, VT 05478-1726
Registry dates
- Enumerated
- 2011-10-20
- Last updated
- 2023-02-13
- Certified
- 2023-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.