Proctor, Shantelle T

Proctor, Shantelle T is an individual health care provider with primary practice located at 4300 Sw 13Th St , Gainesville FL 32608-4006. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Proctor, Shantelle T can be contacted via phone (352) 374-5600.

Contact Information

Primary practice address
4300 Sw 13Th St Gainesville FL 32608-4006
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X CNA175932 Florida

Profile Details

NPI number 1740502632
LBN Legal business name Proctor, Shantelle T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2010
Last updated Feb 19th, 2010 - about 14 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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