Hardcastle, Shellie D

Hardcastle, Shellie D is an individual health care provider with primary practice located at 250 Park St , Bowling Green KY 42101-1760. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hardcastle, Shellie D can be contacted via phone (270) 745-1808.

Contact Information

Primary practice address
250 Park St Bowling Green KY 42101-1760
Phone: (270) 745-1808
Fax: (270) 796-5516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3003194 Kentucky

Profile Details

NPI number 1033111901
LBN Legal business name Hardcastle, Shellie D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jun 29th, 2011 - about 13 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 1033111901 NPPES
Kentucky MEDICAID F96276

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