Norman, Shelly Jeanne

Norman, Shelly Jeanne is an sole proprietor health care provider with primary practice located at 1270 Sw William Ave , Chehalis WA 98532-4730. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Norman, Shelly Jeanne can be contacted via phone (360) 748-8814.

Contact Information

Primary practice address
1270 Sw William Ave Chehalis WA 98532-4730
Phone: (360) 748-8814
Fax: (925) 364-2279
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30005011 Washington
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X AP30005011 Washington

Profile Details

NPI number 1871576876
LBN Legal business name Norman, Shelly Jeanne
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2005
Last updated Jan 4th, 2015 - about 9 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 1871576876 NPPES
Washington MEDICAID 9623976

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