Lummus, Shelly Rebecca

Lummus, Shelly Rebecca is an individual health care provider with primary practice located at 3505 Cadillac Ave Building O Suite 110, Costa Mesa CA 92626-1429. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lummus, Shelly Rebecca can be contacted via phone (714) 755-1160.

Contact Information

Primary practice address
3505 Cadillac Ave Building O Suite 110 Costa Mesa CA 92626-1429
Phone: (714) 755-1160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 417062 California

Profile Details

NPI number 1649474545
LBN Legal business name Lummus, Shelly Rebecca
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Mar 7th, 2023 - 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 1649474545 NPPES
California Other 9198 NURSE PRACTITIONER CERTIF
California Other RN 417062 NURSE PRACTITIONER CERTIF

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