Provider Demographics
NPI:1811053747
Name:SHAFTON, GAIL ANN (NP)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:ANN
Last Name:SHAFTON
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Gender:F
Credentials:NP
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Mailing Address - Street 1:9411 N OAK TRFY
Mailing Address - Street 2:SUITE LL1
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-2233
Mailing Address - Country:US
Mailing Address - Phone:816-436-7072
Mailing Address - Fax:816-436-2743
Practice Address - Street 1:2790 CLAY EDWARDS DR
Practice Address - Street 2:SUITE 300
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3276
Practice Address - Country:US
Practice Address - Phone:816-221-6750
Practice Address - Fax:816-221-7280
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2010-09-27
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Provider Licenses
StateLicense IDTaxonomies
MO093805363LA2200X, 363L00000X
KS45745363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOR08000009Medicare PIN