Berry, Shelrel F

Berry, Shelrel F is an individual health care provider with primary practice located at 103 E 23Rd St , Panama City FL 32405-4501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Berry, Shelrel F can be contacted via phone (850) 769-0338.

Contact Information

Primary practice address
103 E 23Rd St Panama City FL 32405-4501
Phone: (850) 769-0338
Fax: (850) 640-2195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN11012787 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1052673 Alabama

Profile Details

NPI number 1689690943
LBN Legal business name Berry, Shelrel F
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Dec 19th, 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 1689690943 NPPES
Other 51534465 BLUE CROSS BLUE SHIELD
MEDICAID 51545741 BLUE CROSS BLUE SHIELD
MEDICAID 891013060 BLUE CROSS BLUE SHIELD

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