Provider Demographics
NPI:1518522887
Name:SHRABLE, SHANDLE LYNN (NP)
Entity Type:Individual
Prefix:
First Name:SHANDLE
Middle Name:LYNN
Last Name:SHRABLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SHANDLE
Other - Middle Name:LYNN
Other - Last Name:HACKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:83 ALTENTANN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-5816
Mailing Address - Country:US
Mailing Address - Phone:615-645-3031
Mailing Address - Fax:615-678-5676
Practice Address - Street 1:83 ALTENTANN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-5816
Practice Address - Country:US
Practice Address - Phone:615-645-3031
Practice Address - Fax:615-678-5676
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-02
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000028370363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty