Anderson, Shelley Smith

Anderson, Shelley Smith is an individual health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-5611. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Anderson, Shelley Smith can be contacted via phone (864) 455-7000.

Contact Information

Primary practice address
701 Grove Rd Greenville SC 29605-5611
Phone: (864) 455-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3611 South Carolina

Profile Details

NPI number 1932176914
LBN Legal business name Anderson, Shelley Smith
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jan 7th, 2022 - about 2 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 1932176914 NPPES
South Carolina MEDICAID AN1969

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