Churchill, Shelly
Churchill, Shelly is an sole proprietor health care provider with primary practice located at 4546 Grand Blvd , New Port Richey FL 34652-5119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Churchill, Shelly can be contacted via phone (727) 390-6082.Contact Information
Primary practice address
4546 Grand Blvd
New Port Richey FL 34652-5119
Phone: (727) 390-6082
Fax: (727) 255-6134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN11017691 | Florida |
Profile Details
| NPI number | 1720731813 |
|---|---|
| LBN Legal business name | Churchill, Shelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2022 |
| Last updated | Mar 21st, 2024 - about last year |
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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