Provider Demographics
NPI:1568457026
Name:SHANKEL, ERIN CHRISTINE (FNP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:CHRISTINE
Last Name:SHANKEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 SUGARTREE LN STE 100
Mailing Address - Street 2:MAPLEWOOD OFFICE PARK
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-3072
Mailing Address - Country:US
Mailing Address - Phone:615-595-6673
Mailing Address - Fax:615-591-3204
Practice Address - Street 1:400 SUGARTREE LN STE 100
Practice Address - Street 2:MAPLEWOOD OFFICE PARK
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3072
Practice Address - Country:US
Practice Address - Phone:615-595-6673
Practice Address - Fax:615-591-3204
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNRN139946363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ14110Medicare UPIN
TN10350I7719Medicare PIN
TN103I502630Medicare PIN