Makovic, Shannon Eileen Katilus

Makovic, Shannon Eileen Katilus is an individual health care provider with primary practice located at Department Of Pediatrics Neonatology Box 100296, Gainesville FL 32610-0296. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Makovic, Shannon Eileen Katilus can be contacted via phone (352) 273-8985.

Contact Information

Primary practice address
Department Of Pediatrics Neonatology Box 100296 Gainesville FL 32610-0296
Phone: (352) 273-8985
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Florida
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X ARNP9336257 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9336257 Florida

Profile Details

NPI number 1124565031
LBN Legal business name Makovic, Shannon Eileen Katilus
Credentials DNP, ARNP, NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2017
Last updated Apr 20th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124565031 NPPES
Florida MEDICAID 020511800

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