Killian, Shalese Marie

Killian, Shalese Marie is an individual health care provider with primary practice located at 250 W 300 N , Roosevelt UT 84066-2336. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Killian, Shalese Marie can be contacted via phone (435) 722-4691.

Contact Information

Primary practice address
250 W 300 N Roosevelt UT 84066-2336
Phone: (435) 722-4691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 9012696-3102 Utah
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9012696-4405 Utah

Profile Details

NPI number 1346875325
LBN Legal business name Killian, Shalese Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2020
Last updated Mar 21st, 2020 - about 6 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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