Miller, Shelley Renea
Miller, Shelley Renea is an individual health care provider with primary practice located at 495 East Main Street , Lebanon VA 24266. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Miller, Shelley Renea can be contacted via phone (276) 889-3700.Contact Information
Primary practice address
495 East Main Street
Lebanon VA 24266
Phone: (276) 889-3700
Fax: (276) 889-5505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024000081 | Virginia |
Profile Details
| NPI number | 1790793594 |
|---|---|
| LBN Legal business name | Miller, Shelley Renea |
| Credentials | RN MSN FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 22nd, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790793594 | NPPES |
| Virginia | MEDICAID | 010204534 | |
| Virginia | MEDICAID | 010204518 |
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