Provider Demographics
NPI:1730699356
Name:SHAPCOTT, MARY BETH (RN, CDE)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:BETH
Last Name:SHAPCOTT
Suffix:
Gender:F
Credentials:RN, CDE
Other - Prefix:MISS
Other - First Name:MARY
Other - Middle Name:BETH
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 EAST MARKET ST.
Mailing Address - Street 2:MERCY HOSPITAL DIABETES EDUCATION
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245
Mailing Address - Country:US
Mailing Address - Phone:319-339-3538
Mailing Address - Fax:319-358-2653
Practice Address - Street 1:500 EAST MARKET ST.
Practice Address - Street 2:MERCY HOSPITAL DIABETES EDUCATION
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245
Practice Address - Country:US
Practice Address - Phone:319-339-3538
Practice Address - Fax:319-358-2653
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA068881163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator